Abstract
The case to be reported of obstruction of the descending colon as a result of swallowing of air is of interest as I have been unable to find mention of a similar case in the world literature. Partial obstruction of the descending colon after swallowing of air by the patient over a period of several days was proved by roentgen-ray study with a barium enema. A total laryngectomy had been performed on this patient for cancer four years previously and, in order to speak, the patient used an esophageal voice necessitating the swallowing of quantities of air to be eructated so that the sound could be converted into speech by the lips, teeth, tongue, and palate. The mechanism of the obstruction can probably be explained by the fact that, owing to increasing distension of the proximal descending colon, the sigmoid folded over on itself near its peritoneal attachment, thus completing
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