PMC10016158_01
a Red arrow in the axial view of the chest's computed tomography showing thymoma. b True cut needle biopsy
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Fig1
The mass showed homogenous enhancement in the post-contrast study, partially encasing the left innominate vein with no definite infiltration (Fig. 1a). In January 2022, after controlling the infection, CT guided true cut needle biopsy (Fig. 1b) was done for his left anterior mediastinal mass, which revealed undifferentiated neoplasm for immunohistochemistry.
a Upper gastrointestinal endoscopy showing dilated esophagus and retained fluids. b Tight lower esophageal sphincter. c HRM of achalasia type II: showed the failure of LES relaxation, high resting LES pressure, and absent esophageal peristalsis (100%) with panesophageal pressurization to greater than 30 mmHg
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Fig2
Upper endoscopy showed dilated esophagus with retained fluid and spastic cardia (Fig. 2a, b). II (Fig. 2c). In July 2022, elective pneumatic balloon dilatation (PBD) (Fig. 3a, b) was done with successful dilation and remarkable improvement of the patient's GIT symptoms.
Fluoroscopic image of achalasia using a 3.5-cm pneumatic dilator showing: a pneumatic balloon dilation with subsequent dilation to obliterate the balloon waist; b after successful pneumatic balloon dilation with balloon inflation to the maximum pressure of 13 mmHg
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Fig3
II (Fig. 2c). In July 2022, elective pneumatic balloon dilatation (PBD) (Fig. 3a, b) was done with successful dilation and remarkable improvement of the patient's GIT symptoms.