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Too hard to swallow!
  1. Keith Siau1,2,
  2. Akhmid Aziz3,
  3. Lenny Liew4,
  4. Sauid Ishaq1,5
  1. 1 Department of Gastroenterology, Dudley Group Hospitals NHSFT, Dudley, UK
  2. 2 Joint Advisory Group, Royal College of Physicians, London
  3. 3 Department of Radiology, Dudley Group Hospitals NHSFT, Dudley, UK
  4. 4 Department of ENT, Dudley Group Hospitals NHSFT, Dudley, UK
  5. 5 Department of Medicine, Birmingham City University, Birmingham, UK
  1. Correspondence to Sauid Ishaq, Department of Gastroenterology, Birmingham City University,Dudley Group Hospitals Dudley,DY1 2HQ United Kingdom ; Sauid.Ishaq{at}

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An 80-year-old woman presented with a 4-month history of intermittent oropharyngeal dysphagia and aspiration, particularly after eating peas. She had no significant medical history and denied additional symptomatology. Gastroscopy revealed a smooth lesion arising in the pharynx abutting the epiglottis (figure 1) but was otherwise unremarkable. Pillow sign was negative. No neck masses were palpable on examination after endoscopy.

Figure 1

Endoscopic appearance of the pharynx.


  1. What is the endoscopic finding and what are the …

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  • Contributors KS wrote the bulk of the manuscript and performed the literature review. AA selected and annotated appropriate radiology. LL provided ENT expertise. SI was guarantor of the article. All authors approved the submission of the manuscript.

  • Competing interests None declared

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.