Ivor Lewis procedure

Case contributed by Dr Henry Knipe

Presentation

Shortness of breath.

Patient Data

Age: 50 years
Gender: Female
Modality: X-ray

Large opacity with air-fluid level projects over the right lung. Mediastinal surgical clips. Right internal jugular central venous catheter. Bibasal opacity and small left pleural effusion. 

Case Discussion

Types appearances post Ivor Lewis procedure. It is an oesophagectomy, gastric pull-up, and gastro-oesophageal anastomosis for disease (e.g. oesophageal cancer) in the distal two-thirds of the oesophagus. 

The presence of surgical clips is key for not mistaking this for mega-oesophagus

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Case Information

rID: 43082
Case created: 22nd Feb 2016
Last edited: 27th Aug 2016
Inclusion in quiz mode: Included

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