A 67-year-old man presents to his general practitioner with a cough. Patient History: He had been a regular attendee over the course of the previous 12 months with recurrent chest infections. His background included longstanding symptoms of heartburn, dyspepsia and epigastric pain, for which he was prescribed a regular proton pump inhibitor. Physical Examination: No abnormalities were found on examination of the chest.
His respiratory rate was 18 breaths per min with equal and good air entry bilaterally, vesicular breath sounds with no added sounds. He was referred for a chest radiograph (Image 1). Workup: Based on the radiograph, the reporting radiologist suggested an upper gastrointestinal contrast swallow examination (Image 2). One day following the barium swallow examination the patient presented acutely in the accident and emergency department with symptoms of epigastric pain, and…
