Gastric pull up
Post upper gastrointestinal surgery for oesophageal malignancy.
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Large right paramediastinal gas filled structure.
Gasless upper abdomen.
The appearances are those of a patient who has undergone a 'gastric pull-up' procedure (oesophagogastrectomy).
Typically performed for a mid-distal oesophageal malignancy the stomach is 'pulled' into the chest to anastomse with the upper oesophagus after resection of a oesophageal segment has been surgically removed.