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pp.685-686
Published Date 1953/11/20
DOI https://doi.org/10.11477/mf.1492200994

YAMAKAWA and OHKOCHI report an interesting case of mediastinal cancer tnat re-sulted in sudden death of the patient from asphyxia. A woman aged 28 complained of acute dyspnea after eating 'mochi' which is highly resilient pounded rice cake, and, which apparently lodged firmly in the esophagus. Be-cause of increased dyspnea by placing the patient in dorsal recumbent position emergency tracheotomy was performed with the patient sitting upright. Esophagoscopy was followed but, because of increased dyspnea the procedure had to be intercepted before removal of the offending foreign body had been accomplish-ed. Relief from dyspnea was attained only after insertion of spiral tracheal canula. And in the meantime the esophageal obstruction passed on into the stomach; the patient was able imbibo water without any difficulty. The spiral canula was, now, interchanged with the ordinary type, but, 20 minute later the patient was dead from asphyxia. Necropsy revealed mediastinal gland cancer grown to a size mea-suring 11X10.5 X 3cm and, found to be press-ing on the trachea.


Copyright © 1953, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 印刷版ISSN 0386-9679 医学書院

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