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Esophagectomy (on barium swallow)

Case contributed by Dr Ian Bickle

Presentation

Cough. Esophageal cancer 7 years prior, surgery was undertaken.

Patient Data

Age: 70 years
Gender: Female
Barium

Surgical clips project over the epigastrium.

The entirety of the stomach lies in the thoracic cavity anastomosed at the level of the cervical esophagus.

Rugal folds of the stomach and barium coating specs of food debris in the stomach with the gastroduodenal junction at the normal site of the gastro-esophageal junction.

The duodenojejunal flexure lies in the midline.

Case Discussion

Quite a profound set of images for the uninitiated, with the stomach, elongated in the thoracic cavity.

The rugal folds distinguish if from achalasia if limited images were only provided.

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Case information

rID: 74692
Published: 4th Mar 2020
Last edited: 4th Mar 2020
Inclusion in quiz mode: Included

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