This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Daniel D. Von Hoff, MD; N. Reed Dunnick, MD
National Institutes of Health Bethesda, Md

JAMA. 1978;240(19):2044-2045.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

At times foreign bodies present diagnostic dilemmas. The following is a case of an unusual but distinctly shaped foreign body in the esophagus.

Report of a Case.—

A 54-year-old nurse with a five-year history of ovarian cancer had been treated with radiotherapy and later with HEXACAF (a combination of methenamine, cyclophosphamide, methotrexate, and fluorouracil). She originally responded to HEXACAF, but because of progressive disease, her therapy was switched to cis-diamminedichloroplatinum II on an every three-week schedule. During her admission on July 6, 1977, she had a routine chest roentgenogram that demonstrated what appeared to be a foreign body in the midesophageal region (Fig 1). The object was radiodense, with a rather distinctive triangular shape. The patient denied any history of dysphagia or dyspnea and in the last 12 hours had swallowed only one tablet of Pepto-Bismol (subsalicylate bismuth, phenyl salicylate, and phenolsulfonate zinc), which she felt . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?