Endgames Spot Diagnosis

Dysphagia and choking in an older man

BMJ 2017; 358 doi: https://doi.org/10.1136/bmj.j3344 (Published 27 July 2017) Cite this as: BMJ 2017;358:j3344
  1. Tun Hing Lui, consultant
  1. Department of orthopaedics and traumatology, North District Hospital, Hong Kong, China
  1. Correspondence to luithderek{at}yahoo.co.uk

An 87 year old man presented with a one year history of difficulty swallowing, with episodes of choking and aspiration that progressively increased in frequency. Laryngeal examination showed extra luminal obstruction from behind. Lateral radiograph of the neck and computed tomogram of the cervical …

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