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Louis Pelner, M.D.; Abraham H. Levy, M.D.
JAMA. 1960;172(17):1922-1923. doi:10.1001/jama.1960.63020170006010b.
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An aged patient in poor general health had an impaction of the lower end of the esophagus after eating fish roe. It was decided to attempt to digest the foreign body by enzymatic means.

Report of a Case  A 76-year-old woman, who appeared older than her stated age, complained that for a week she had had severe pressure in the retrosternal area. This pressure made her gasp for breath, but the symptom was not made worse by walking. She stated that she continually "brought up phlegm," but it could not be ascertained whether the material was vomited or expectorated. She also complained of weakness.There was evidence of considerable weight loss. The patient had poorly fitted dental plates. The heart was slightly enlarged, and a presystolic murmur was heard at the apex and base. An electrocardiogram showed a few nonspecific changes. The blood pressure was 160/90 mm. Hg, the lungs


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