Colonic interposition of the esophagus

Case contributed by Chris O'Donnell
Diagnosis certain

Presentation

Patient presents with abdominal pain and fever.

Patient Data

Age: 45
Gender: Female

Unusual finding of contrast filled colon (left) anastomosed between the upper esophagus and stomach via the diaphragmatic hiatus - diaphragm intact.

Case Discussion

This procedure is now rarely performed (gastric pull up - Ivor Lewis procedure is preferred) usually for malignancy or corrosive ingestion.

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