Based on: Wiseguy: Life in a Mafia Family by Nicholas Pileggi. Year published: 1986. The book is a nonfiction novel that chronicles the life of mobster turned FBI informant Henry Hill (who was played in the film by Ray Liotta). Pileggi also adapted the book into the screenplay.
An enlarged glottis may appear as a small lump/bump on the outside of the neck, which is often mistaken for hernia. This could be a medical emergency since a malfunctioned structure diverts the food into the trachea and cause choking. On a lateral C-spine X-ray, a thumb sign indicates an inflamed epiglottic mass.
Notice signs of anemia. As the larvae approach the glottis, they get swallowed and make their way to the small intestine. They attach to the intestinal walls with their teeth, causing blood loss as they feed on protein. If they are allowed to mature in the intestines, they can cause malnutrition and anemia.