Esophageal stricture - A cascade of complications

A 90-year old male diagnosed with stage III non-Hodgkin's peripheral T-cell lymphoma under palliative treatment was admitted due to a feeling of food impaction and vomiting. He underwent upper digestive endoscopy which revealed an extensively necrotic esophageal mucosa with complete esophagus obstruction where two impacted pills were seen (figure 1) and fragmented. Non-contrast chest computed tomography showed multiple exuberant mediastinal adenopathies conditioning extrinsic compression and esophageal collapse (figure 2). Patient later underwent endoscopic reassessment which showed complete mucosa healing, therefore proceeding with esophageal stenosis endoluminal balloon dilation.