%0 Journal Article %T M¨¦ga-£¿sophage r¨¦v¨¦l¨¦ par une pleur¨¦sie %J Archive of "The Pan African Medical Journal". %D 2017 %R 10.11604/pamj.2017.28.181.13721 %X We report the case of a 65-year old patient without a history of alcohol consumption and cigarette smoking but with a history of gastr£¿sophageal reflux disease for which he had never been examined. He was admitted to the Department of Pneumology for exploration of a dry hacking cough causing insomnia associated with diffuse heaviness in his right chest evolving over a month in a context of evening and night fever without weight loss. Clinical and radiological examination showed right pleural effusion syndrome. Radiographic follow-up after evacuating pleural effusion by puncture showed inhomogeneous opacity occupying nearly all the right lung (A). Chest CT scan objectified thoracic megaesophagus associated with non-specific pleuro-pulmonary disease. The patient underwent upper gastrointestinal endoscopy that didn¡¯t show suspect cancer signs. Pleuro-pulmonary disease outcome was favorable after amoxicillin treatment %K M¨¦ga-£¿sophage %K pleur¨¦sie %K gastro-£¿sophagien Megaesophagus %K pleurisy %K gastro- esophageal Megaesophagus %K pleurisy %K gastro- esophageal %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5847245/