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February 1934


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Arch Otolaryngol. 1934;19(2):247-249. doi:10.1001/archotol.1934.03790020093008

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Mrs. E. M., aged 86, was admitted to St. Lawrence Hospital on Jan. 4, 1933, with a fracture of the right iliac bone. Traction was applied and the patient treated symptomatically, for she was greatly emaciated and dehydrated.

For at least fifteen years she had experienced gradually increasing difficulty in swallowing. Of late she had become increasingly emaciated and hungry, for in spite of many hours spent in trying to eat and repeated attempts at swallowing, large quantities of food were regurgitated. Each attempt at swallowing was accompanied by choking and coughing. She had discovered that the choking could be diminished by tipping her body forward while attempting to swallow.

Fig. 2.—The channel running toward the lower right-hand corner is the opening into the diverticulum with voluntary muscle fibers of the pharynx on one side and smooth muscle fibers of the esophagus on the other; × 10.

Fig. 3.—High power

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