Ivor Lewis

Case contributed by Dr Bruno Di Muzio


Chronic cough.

Patient Data

Age: 70-year-old
Gender: Male

Chest Radiograph

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). 


CT Chest

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. 


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Case information

rID: 47994
Published: 12th Nov 2016
Last edited: 14th Aug 2019
System: Chest
Tag: rmh
Inclusion in quiz mode: Excluded