. Annals of surgery . lement of danger. Case Report.—Mrs. M. white, aged thirty-niiu first atlmittidto the University of Xirgiiiia Hospital, -August 27, 1919. coinplaiiiing of shortnessof breath and regurgitation of food. Family History.—Unimportant. PreviousHistory.—Unimportant. Present Illness.—About fifteen years ago patient beganto feel as it there were a lump in her throat after eating, as though the foodhad lodged t)ehind the lower end of the sternum. Soon after this she began to 169 STEPHEN H. WATTS regurgitate her The condition gradually grew worse with increasi
. Annals of surgery . lement of danger. Case Report.—Mrs. M. white, aged thirty-niiu first atlmittidto the University of Xirgiiiia Hospital, -August 27, 1919. coinplaiiiing of shortnessof breath and regurgitation of food. Family History.—Unimportant. PreviousHistory.—Unimportant. Present Illness.—About fifteen years ago patient beganto feel as it there were a lump in her throat after eating, as though the foodhad lodged t)ehind the lower end of the sternum. Soon after this she began to 169 STEPHEN H. WATTS regurgitate her The condition gradually grew worse with increasing ditR-culty in getting food into the stomach. At the present time she eats about one-half of her meal then drinks about a (|uart of water, finishes the meal and drinksmore water. The regurgitated food comes back just as it was eaten; milk comes backthick but not sour. Most of the food comes back in from five to fifteen minutesafter eating but sonic of it comes back at irregular intervals until the next Fig. 6.—May 5. lO-J- Small amount of opaque oesophagus Often a part of her supper comes liack the morning just as it was eaten thenight before. The patient at this time was fairly well nourished. The X-ray photographafter giving one quart of opaciue meal showed an enormous dilatation of theoesophagus, tapering down to a sharp jioint at the cardia and none of the barium-was in the stomach (Fig. 1.). She left the hospital without treatment promisingto return in two weeks for dilatation, however she did not come back for a year,i. c, September 13, 1920. She had lost considerable weight and she had still moredifficulty in getting food into the stomach, in fact she often found it necessary tomake pressure in the suprasternal notch, where there was a distinct X-ray examination gave the same picture as described above. Numerousattempts to pass bougies and to have her swallow a thread were unsuccessful, soshe was transferred to the surgical service.
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
