Anastomotic stricture post Ivor Lewis oesophagectomy

Case contributed by Dr Bruno Di Muzio

Presentation

Post Ivor-Lewis oesophagectomy. Increased nausea and vomiting.

Patient Data

Age: 71-year-old

Gastrografin swallow

Modality: Fluoroscopy

Findings: There is anastomotic narrowing at the anastomosis site with proximal oesophageal dilatation and delayed contrast emptying. Contrast outpouch irregular filling at the left aspect of the anastomosis site appears to represent a contained leakage point, which clears up with the contrast progression. The contrast media otherwise progresses normally through the stomach and proximal duodenum.

Conclusion: Features are consistent with anastomotic stricture and small anastomotic contained leakage point.

Case Discussion

Features are those of anastomotic stricture after an Ivor Lewis procedure. The out-pouching located just above the proximal anastomotic site may be a pre-stenotic diverticulum or chronic contained leakage site. 

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Case Information

rID: 47937
Case created: 9th Sep 2016
Last edited: 26th Sep 2016
Tag: rmh
Inclusion in quiz mode: Included

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