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Gastric pull through

Patterson RAP - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Gastric pull through

History: 46-year-old Caucasian male with a history of squamous cell carcinoma of the middle third of the esophagus in 2001. Pt is s/p transhiatal esophagectomy and chemoradiation and neoadjuvant chemotherapy. Here for follow-up and screening for recurrence.

Findings: Chest PA: Descending aorta shadow obscured by retrocardiac opacity. Chest Lat: Abnormal soft tissue density in a retrocardiac position obscuring the posterior border of left ventricle. CT: Dilated esophagus with air contrast level extending from the thoracic inlet to the diaphragm. Lower images show surgical clips.

Ddx: (Lower Middle Mediastinal Mass) Esophageal processes: achalasia, esophageal mass (leiomyoma), hiatal hernia, or gastric pull through Tracheal or Esophageal Duplication Cysts Aortic Ectasia or Aneurysm

Dxhow: Surgical history

Exam: No recent physical exam on record 24Jun2004: biopsy of esophagus – no metaplasia present 25June2005: all values of basic metabolic panel are within normal limits

No MeSH data available.


CT Chest
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MPX2049_synpic20939: CT Chest


Gastric pull through

Patterson RAP - MedPix

CT Chest
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2049&req=5

MPX2049_synpic20939: CT Chest

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Gastric pull through

History: 46-year-old Caucasian male with a history of squamous cell carcinoma of the middle third of the esophagus in 2001. Pt is s/p transhiatal esophagectomy and chemoradiation and neoadjuvant chemotherapy. Here for follow-up and screening for recurrence.

Findings: Chest PA: Descending aorta shadow obscured by retrocardiac opacity. Chest Lat: Abnormal soft tissue density in a retrocardiac position obscuring the posterior border of left ventricle. CT: Dilated esophagus with air contrast level extending from the thoracic inlet to the diaphragm. Lower images show surgical clips.

Ddx: (Lower Middle Mediastinal Mass) Esophageal processes: achalasia, esophageal mass (leiomyoma), hiatal hernia, or gastric pull through Tracheal or Esophageal Duplication Cysts Aortic Ectasia or Aneurysm

Dxhow: Surgical history

Exam: No recent physical exam on record 24Jun2004: biopsy of esophagus – no metaplasia present 25June2005: all values of basic metabolic panel are within normal limits

No MeSH data available.