Herniation of the transverse colon after esophagectomy: Is retrocardiac air a normal postoperative finding? Journal Article


Authors: Gollub, M.; Bains, M.
Article Title: Herniation of the transverse colon after esophagectomy: Is retrocardiac air a normal postoperative finding?
Abstract: OBJECTIVE. This study describes the radiographic and CT imaging features of colonic herniation complicating esophagogastrectomy in three patients, all of whom required surgery. CONCLUSION. After routine esophagogastrectomy with gastric pull-through for esophageal carcinoma, the intrathoracic gastric pull-through most often lies in a right paraspinal location. Once a left- sided gastric pull-through has been excluded, radiologists must be suspicious for left retrocardiac air lucency that possibly represents herniation of the nearby colon. Early diagnosis is important for the prevention of bowel strangulation, especially for the ischemia-susceptible splenic flexure.
Keywords: adult; aged; middle aged; case report; computer assisted tomography; image analysis; diagnostic imaging; postoperative complication; early diagnosis; hernia; esophagus resection; gastrectomy; esophagus carcinoma; heart; esophageal neoplasms; esophagectomy; colonic diseases; transverse colon; humans; human; male; priority journal; article; pull through operation; strangulation; hernia, hiatal
Journal Title: American Journal of Roentgenology
Volume: 169
Issue: 2
ISSN: 0361-803X
Publisher: American Roentgen Ray Society  
Date Published: 1997-08-01
Start Page: 481
End Page: 483
Language: English
PUBMED: 9242757
PROVIDER: scopus
DOI: 10.2214/ajr.169.2.9242757
DOI/URL:
Notes: Article -- Export Date: 17 March 2017 -- Source: Scopus
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  1. Marc J Gollub
    208 Gollub
  2. Manjit S Bains
    338 Bains