A bitter pill to swallow

Monksfield, Peter A; Whiteside, Olivia JH; Winter, Stuart CA; Steventon, Nicholas B; Cox, Graham J

doi:10.5694/j.1326-5377.2003.tb05146.x

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An elderly patient with diabetes presented with oesophageal obstruction after taking a regular dose of metformin. A lateral neck radiograph confirmed the presence of an obstruction in the upper oesophagus. The patient underwent rigid oesophagoscopy, at which time the tablet, complete with packaging, was removed (see Box). The patient went on to make a full recovery.

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Peter A Monksfield¹
Olivia JH Whiteside²
Stuart CA Winter³
Nicholas B Steventon⁴
Graham J Cox⁵

Department of Otolaryngology, Radcliffe Infirmary, Oxford, OX2 6HE, UK.

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A bitter pill to swallow

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