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Fig. 3B —65-year-old man who underwent esophagogastrectomy and gastric
pull-through. Follow-up studies showed intraluminal migration of surgical
drain through esophagogastric anastomosis into proximal intrathoracic stomach
with large postoperative leak and subsequent development of anastomotic
stricture. Frontal spot image from repeat upper gastrointestinal study with
water-soluble contrast agent 2 weeks after A shows marked healing of
leak with small residual extraluminal collection (white arrows) in
adjacent mediastinum. Original drain had been removed and replaced by pigtail
catheter, which has also migrated through esophagogastric anastomosis
(large black arrow) into lumen of proximal intrathoracic
stomach. Note how end of catheter (small black arrow)
overlies lumen.