Heterotrophic Ossification of Intercostal Muscle Flap Causing Refractory Esophageal Stricture

A 78-year-old man presented with a history of progressive solid food dysphagia for a few weeks. His history was notable for a recent diagnosis of gastroesophageal junction adenocarcinoma that was treated with Ivor-Lewis esophagectomy, with esophagogastric anastomosis and intercostal muscle flap (IMF) placement for leak and fistula management