SARKIS J. CHOBANIAN, M.D.; CHARLES WINTERS, M.D.; WILLIAM MARTLAND, M.D.; DAVID A. JOHNSON, M.D.; JAMES L. BUCK, M.D.; EDWARD L. CATTAU, M.D.
CHOBANIAN SJ, WINTERS C, MARTLAND W, JOHNSON DA, BUCK JL, CATTAU EL. Esophageal Pseudoworm: "Pasta, not Parasite". Ann Intern Med. 1986;105:138. doi: 10.7326/0003-4819-105-1-138_1
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Published: Ann Intern Med. 1986;105(1):138.
To the editor: Working at an international referral hospital, we have seen many exotic diseases among our well-traveled patients. It was with little excitement, therefore, that we agreed to see a patient with multiple serpiginous filling defects seen during an upper gastrointestinal tract series. Fully expecting the radiographic picture of ascaris infection, we were taught a valuable lesson by the ultimate endoscopic and histologic diagnosis: when one hears hoofbeats, do not assume you hear a member of the animal kingdom.
A 56-year-old Japanese woman was referred with solid-food dysphagia of 10 days' duration. She denied pyrosis, hematemesis, or ingestion of
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