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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 333:1066-1072 October 19, 1995 Number 16
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Case 32-1995— A 78-year-old woman with increasing dysphagia and odynophagia
W.R. Brugge, and E.J. Mark

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Presentation of Case

A 78-year-old woman was admitted to the hospital because of worsening dysphagia and odynophagia.

For three years, she had had dysphagia, with a sensation of solid food catching in the upper esophagus, which had worsened during the six months before admission. The dysphagia was followed by the coughing up of mucus for as long as an hour and by painful "spasms" in the neck that were provoked by swallowing medication or food. She had lost 4 to 7 kg in weight during the two years before admission. A barium-swallow examination performed elsewhere 26 months before admission showed a hiatal hernia . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. William R. Brugge's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References



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