Case report highlights spiked helmet sign during septic shock in a patient post Ivor-Lewis esophagectomy, suggesting complications from treatment.
A 49-year-old former smoker with no significant medical history presented with several months of oral intolerance, nausea, and a 20-kg weight loss. An upper endoscopy revealed a mid-to-distal esophageal adenocarcinoma, confirmed by biopsy. Staging showed no metastasis, and the patient underwent neoadjuvant FLOT chemotherapy followed by Ivor-Lewis esophagectomy.
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Pelegrini et al. (2025) studied this question.
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