CTICasesEsophageal conduit disruption
Imaging findings
Abdominal and chest CT in a patient one week post-esophagectomy show portal venous gas and pneumatosis within the small bowel and colon, but also pneumatosis within the gastric conduit and a gas/fluid tract along a staple line in the mediastinum, consistent with staple line dehiscence and conduit leak.
Key takeaways
Esophageal conduit leak is a major surgical complication of esophagectomy. It can be associated with pneumatosis of the gastric conduit and portal venous gas, which can occasionally represent benign distention/pneumatosis without bowel infarction.
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