Symptoms occurring from lesions of the lower esophagus and cardia are variable and sometimes difficult to interpret. Patients may believe that they have heart disease, gallstones, cancer of the throat, or duodenal ulcer. Not infrequently, extensive medical studies are carried out to investigate such possibilities before location of the disease process in the esophagus is suspected and proved. Although accurate diagnosis is readily achieved in most cases by careful history and radiological and endoscopic study, any large series of cases will yield a small group of uncommon conditions difficult to diagnose and puzzling to treat. This communication presents six cases with unusual findings.
HEMANGIOMA WITH ULCER IN A FLACCID CARDIA
A 60-year-old woman had burning, aching, substernal distress of 11 months' duration that was immediately related to food intake. Any hot liquid would cause the distress, and cold liquids had never caused it. She had noticed it with
Adams R, Luria SB. UNCOMMON BENIGN LESIONS OF LOWER ESOPHAGUS, DIAPHRAGM, AND CARDIA. JAMA. 1954;154(8):662–665. doi:10.1001/jama.1954.02940420024007