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Case report

A posterior pharyngeal web in sideropenic dysphagia

Published online by Cambridge University Press:  29 June 2007

Peter L. Cook  and
Brendan R. May
Peter L. Cook
Affiliation:
Wessex Neurological Centre, Southampton General Hospital, Tremona Road, Southampton.
Brendan R. May
Affiliation:
Wessex Neurological Centre, Southampton General Hospital, Tremona Road, Southampton.
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Abstract

Abstract A CASE is presented in which a post-cricoid web was shown arising posteriorly instead of in the almost invariable anterior situation. The patient was not anaemic and some brief comments are made on the inconstant relationship between anaemia and the presence of a web.

Kelly (1919) related dysphagia to anaemia and described how ‘the gullet seemed closed by a web passing backwards from the cricoid’. Subsequent authors emphasize this and Waldenstrom and Kjellberg (1939) state that radiologically and at oesophagosopy there is ‘a thin semilunar membrane on the anterior wall stretching towards the lateral walls of the gullet’ Shamma'a and Benedict (1958) and Seaman (1967) state that webs arise anteriorly but may be circumferential.

This report presents a patient with longstanding dysphagia and anaemia in whom a posterior pharyngeal web was shown.

Type
Clinical records
Information
The Journal of Laryngology & Otology , Volume 91 , Issue 11 , November 1977 , pp. 989 - 992
Copyright
Copyright © JLO (1984) Limited 1977

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References

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