The esophagus as seen through the esophagoscope is still somewhat of a terra incognita to me, and even the experience of constant application of this method of diagnosis over a number of years fails to relieve me of the feeling that the advantage of direct vision does not invariably insure exactitude in diagnosis; however, it is the most definite means of determining the character of esophageal lesions. In the following cases esophagoscopy aided materially in making the diagnosis.
REPORT OF CASES
CASE 1.—A woman, aged 35, had swallowed a plum seed about three weeks before she consulted me. During this time, she had suffered intensely with a sensation of something in the esophagus. She referred most of her suffering to the thyroid region, pressure on either of the thyroid lobes eliciting an expression of intense pain. The thyroid gland was swollen. The blood Wassermann was negative.
Fluoroscopy