Case: A 23-year-old male patient was admitted to the clinic due to progressive difficulties in swallowing and a constant weight loss of 23 kg, which had developed over the past three years. During meals, dysphagia was overcome by drinking water. Additional symptoms were retrosternal pain, regurgitations (Eckardt score of 10), and respiratory ailments. Laboratory Findings: Results did not show any abnormalities, a computed tomography (CT) scan of the chest revealed a massive extension of the esophagus starting proximally of the cardia up to cervical vertebral body 7.
The consequence of this megaesophagus was a transversal widening of the mediastinum up to 6.7 × 5.2 cm in diameter accompanied by a consecutive slit-shaped cranial narrowing of the trachea (Image 1). Source: Ncbi Which parameters do you think can assemble for the correct diagnosis? What therapy would you suggest after the…
