Anastomotic leak after Ivor Lewis esophagogastrectomy in a surgical case where Surgicel was not used. Axial images of a contrast-enhanced CT obtained 5 days after surgery (a) in a 46-year-old female with a history of stage I esophageal adenocarcinoma, demonstrates extra luminal gas anterior to the enteric tube. An axial view of contrast-enhanced CT obtained 9 days after surgery (b) demonstrates persistent gas and fluid surrounding the now stented gastric pull through. Single upper gastrointestinal series with water-soluble contrast obtained 13 days after surgery (c) demonstrates persistent leak at the level of esophagogastric anastomosis.