Case 33192

Abstract
Presentation of CaseA sixty-four-year-old postmaster entered the hospital because of postprandial distress and regurgitation.Two months before admission, following a drink of whisky, the patient had experienced the first episode of distress in the lower middle portion of the chest anteriorly, followed by regurgitation of some mucus. A short time later, the same thing happened after a swallow of ginger ale. During the next two weeks several similar episodes occurred; in the intervening periods he could swallow food and fluids without trouble. Six weeks before admission substernal distress and regurgitation of clear mucus began to follow swallowing of solids . . .

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