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A 38-year-old woman experienced sudden odynophagia and severe upper substernal precordial pain while eating a bagel that had been baked within the previous eight hours. She had no history of dysphagia or heartburn. She was able to swallow her saliva and small sips of water, but swallowing intensified her pain immensely. A radiograph of the chest was normal. A barium-swallow examination showed a broad-based mucosal tear in the posterior wall of the upper portion of the esophagus, extending from the cricopharyngeal muscle inferiorly for at least 4
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