Presentation
Post upper gastrointestinal surgery for esophageal malignancy.
Patient Data
Age: 71
Gender: Male
From the case:
Gastric pull up
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Large right paramediastinal gas filled structure.
Gasless upper abdomen.
Right thoracotomy.
Case Discussion
The appearances are those of a patient who has undergone a 'gastric pull-up' procedure (esophagogastrectomy).
Typically performed for a mid-distal esophageal malignancy the stomach is 'pulled' into the chest to anastomse with the upper esophagus after resection of a esophageal segment has been surgically removed.