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J Thorac Cardiovasc Surg 2002;124:205-206
© 2002 The American Association for Thoracic Surgery
Brief Communications |
From the Departments of Cardiothoracic Surgery (Section of General Thoracic and Esophageal Surgery),a Pathology,b and Gastroenterological and General Surgery,c Helsinki University Hospital, PO Box 340 (Haartmaninkatu 4), FIN-00029 HUS, Helsinki, Finland.
Received for publication Dec 20, 2001. Accepted for publication Jan 11, 2002. Address for reprints: Jarmo Salo, MD, Department of Cardiothoracic Surgery, Helsinki University Hospital, PO Box 340 (Haartmaninkatu 4), FIN-00029 HUS, Helsinki, Finland (E-mail: jarmo.salo@hus.fi).
| The first 20% of the full text of this article appears below. |
A 52-year-old woman with a history of hypertonia and hypothyroidism was hospitalized because of acute lymphatic leukemia. Earlier, she had had upper abdominal symptoms and had been given a diagnosis of a hiatal hernia and a duodenal ulcer.
She received chemotherapy (cytarabine-etoposide-mitoxantrone), leading to remission. However, neutropenia and severe bronchopneumonia subsequently developed. Bronchoscopy was performed for bacteriologic and fungal analysis. After bronchoscopy, she vomited and later reported having dysphagia. A foreign body obstructing the lower esophagus was detected at endoscopy. The foreign body was pulled out and, after removal, a circular, slightly hemorrhagic, 4-cm-long, superficial mucosal ulceration was seen in the lower esophagus, but no signs
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