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Bay Leaf Impaction in the Esophagus and Hypopharynx

Stephen K. Buto, MD; Tat-Kin Tsang, MD; Gerald W. Sielaff, MD; Laurie L. Gutstein, MD; and Mick S. Meiselman, MD
[+] Article, Author, and Disclosure Information

Requests for Reprints: Tat-Kin Tsang, MD, Department of Medicine, Evanston Hospital, Evanston, IL 60201.

Current Author Addresses: Dr. Buto: GI Laboratory, Evanston Hospital, 2650 Ridge Avenue, Evanston, IL 60201.

Dr. Sielaff: Department of Emergency Medicine, Evanston Hospital, 2650 Ridge Avenue, Evanston, IL 60201.

Drs. Tsang and Meiselman: Department of Medicine, Evanston Hospital, 2650 Ridge Avenue, Evanston, IL 60201.

Dr. Gutstein: Department of Radiology, Northwestern Memorial Hospital, Third Floor, Olson Pavilion, 710 North Fairbanks, Chicago, IL 60611.

Ann Intern Med. 1990;113(1):82-83. doi:10.7326/0003-4819-113-1-82
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This excerpt has been provided in the absence of an abstract.

Foreign bodies are commonly encountered in the gastrointestinal tract. Most produce no symptoms, and only 10% to 20% fail to traverse the entire gut (1). Considerable morbidity and mortality can be related to seemingly benign foreign-body ingestion (1). The management of patients who have ingested objects has been extensively described (1, 2); however, little has been written about ingested bay leaves (3). We report five cases in which patients presented to our emergency departments with an esophageal or hypopharyngeal bay leaf impaction.

Case Reports: Patient 1A 46-year-old man presented to Evanston Hospital in December 1987. Twenty minutes before presentation,


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