This is the case of a 26-year-old man with upper airway obstruction due to the presence of left anterior cervical mass caused by a diffuse large B-cell lymphoma. Chemotherapy and radiotherapy are started. However, due to the patient’s poor clinical course, a tracheostomy is performed. A new episode of airway obstruction occurs one week later as seen on the video-bronchoscopy (Fig. 1) with tracheal lumen infiltration (blue asterisk) due to mediastinal mass (red asterisk), prolapsed tracheal cartilage (yellow arrow), and a 5 cm fistula on the left wall. Both the distal trachea and the main carina appear normal. The CT scan performed (Fig. 2A) reveals the presence of a destructured trachea (yellow arrow) as in the 3D reconstruction (Fig. 2B).

Figure 1.

Video-bronchoscopy image.

(0.05MB).

Figure 2.

CT scan and 3D reconstruction image.

(0.13MB).