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September 1975

Re: Internal Medicine at Large

Author Affiliations

Denville, NJ

Arch Intern Med. 1975;135(9):1268. doi:10.1001/archinte.1975.00330090140018

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To the Editor.  —In the December 1974 issue of the Archives (134:981, 1974) is shown a plain chest x-ray film and a barium swallow from a patient who swallowed the pull-tab from a beer can. The caption mentions that Lee F. Rogers, MD, told the American College of Radiology that plain chest films will not show the position of the aluminum tab in the esophagus.We had a case of a teenage boy who also swallowed an aluminum tab that he placed into a soda can prior to drinking. However, plain chest x-ray films may show the site of the tab in the esophagus as was seen in the accompanying x-ray films. A barium swallow was therefore not needed, and our patient had successful removal of the tab with esophagoscopy.

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