PMC7232722_01
CT-chest showing megaesophagus with nasogastric tube and tracheal intubation but no tracheal compression. (a) Axial sections and (b) sagittal section.
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CT-chest performed initially when the patient was intubated found a megaesophagus but no tracheal compression (Figure 1).
Anteroposterior chest X-ray showing enlargement of the upper mediastinum secondary to megaesophagus.
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In view of the presence of a pulmonary focus on chest X-ray (Figure 2), diagnosis of aspiration pneumonia was retained.
CT-chest showing megaesophagus with tracheal compression. (a) Axial sections and (b) sagittal section.
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fig3
At this time, new CT-chest without intubation found megaesophagus, this time with tracheal compression (Figure 3).
Trachea during bronchoscopic examination. (a) During expiration, at 10 cm from vocal cords with complete expiratory collapse. (b) During inspiration, at 10 cm from vocal cords with 80% inspiratory collapse. (c) Appearance of the trachea at the beginning of the tracheomalacia zone.
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Bronchoscopy performed at this time revealed a TM with complete expiratory collapse and 80% inspiratory collapse associated with an inflammatory mucosa (Figure 4).