Een vrouw in acute ademnood

A 59-year-old woman presented with acute respiratory distress and a superior vena cava syndrome. Her complaints were initiated by esophageal food obstruction. A CT-scan revealed a massively dilated esophagus caused by achalasia. There was compression of the trachea and the large veins of the neck. Patient underwent esophageal resection and gastric tube reconstruction.

Conflict of interest: none declared. Financial support: none declared.