case_images: PMC10790666_01
case_images: Pre-treatment contrast chest CT image. Tracheal wall thickening and narrowing of the tracheal lumen (a and b) and pericardial effusion (c) were observed.
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case_images: CRP of 334.1 mg/L, suggesting a relapse of UC and extraintestinal complications of UC. Chest computed tomography (CT) revealed thickening of the tracheal wall, lumen stenosis, and pericardial effusion (Figure 1).
case_images: Bronchoscopic image. Mucosa before the tracheal bifurcation was edematous and erythematous.
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case_images: Bronchoscopy revealed stenosis of the trachea 2-3 cm from the glottis to before the tracheal bifurcation, edematous mucosa with redness of the anterior wall and no specific findings in the membranous portion (Figure 2).
case_images: Post-treatment contrast chest CT image. Tracheal wall thickening and tracheal lumen narrowing improved (a and b) and pericardial effusion disappeared (c).
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case_images: Two months after golimumab administration, chest CT showed improvement of tracheal wall thickening and tracheal lumen narrowing, disappearance of pericardial effusion (Figure 3), and improvement of inflammatory response to WBC 4710/microL and CRP 6.6 mg/L on blood test.