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MedGenMed
; 7(1): 14, 2005 Mar 01.
Article
in English
| MEDLINE
| ID: mdl-16369319
ABSTRACT
An 80-year-old man was admitted to the emergency department with acute dysphagia symptoms of 8 hours' duration. The problem began after a carp fish meal. Prominent symptoms included inability to swallow, mild dyspnea, and cough. Laboratory evaluation and fiber-optic examination of the upper aerodigestive tract was normal except for accumulation of saliva in the hypopharynx. Examination with a flexible esophagoscope revealed a total blockage of the lumen of the lower esophagus due to impaction of carp fish roe (column-like formation). With careful maneuvers and water pressure we were able to relieve the obstruction. No other lesion was detectable and no further interventions were needed. Patient follow-up was uneventful.