Presentation
Past history of left thyroidectomy. Now left neck mass, losing weight ++, no vomiting.
Patient Data
Age: 60 years
Gender: Female
From the case:
Gastric band induced megaesophagus presenting as a neck mass
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/16006/annotated_viewer_json?lang=us"}
Echogenic left neck mass. Posterior acoustic shadowing.
From the case:
Gastric band induced megaesophagus presenting as a neck mass
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/42165/annotated_viewer_json?lang=us"}
Oblique reconstruction showing esophageal dilatation down to a laparoscopic gastric band - note stomach not distended.
From the case:
Gastric band induced megaesophagus presenting as a neck mass
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/42166/annotated_viewer_json?lang=us"}
Lap band is shown with no contrast passing through.
Case Discussion
The patient was disappointed when the lap band port was aspirated to treat her esophageal obstruction as she progressively regained 20 kilograms in weight!