Abstract
In November, 2005, a 58-year-old man presented to the emergency department with retrosternal chest pain, which he described as “cutting and stabbing”. The pain was accompanied by the development of dysphagia to solids. Clinical examination was unremarkable, with a normal oropharynx and neck. Chest radiography was normal with no visible foreign body. The patient was admitted overnight. The pain had settled and the dysphagia had improved by the next morning, and he was therefore discharged with an urgent outpatient appointment for oesophagogastroduodenoscopy (OGD).
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