Ivor Lewis
Presentation
Chronic cough.
Patient Data
Age: 70-year-old
Gender: Male
From the case:
Ivor Lewis
X-ray
Chest Radiograph
Frontal
No evidence of pulmonary consolidation to suggest infection. Pleural spaces are clear. The tubular structure along the right mediastinal contour with an air-fluid level within is likely a pulled up stomach (Ivor Lewis procedure).
From the case:
Ivor Lewis
CT
CT Chest
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Axial C+ portal venous phase
No features to suggest lung infection. Gastric pull-up procedure with an air-fluid/contrast level within.
Case Discussion
Classic case of Ivor Lewis procedure (also known as a gastric-pull up), a type of esophagectomy usually performed in patients with esophageal cancer.