Lu P K, Brett R H, Aw C Y, Singh R
Department of Otolaryngology, Changi General Hospital, Singapore.
Singapore Med J. 2000 Feb;41(2):77-9.
Ingested foreign bodies which migrate extraluminally are rare occurrences. If untreated, they may result in life threatening complications. Exploration of the neck via an external approach to remove the foreign body is the recommended treatment. The CT Scan utilising fine cuts is invaluable in localising the foreign body for exploration. The case of a patient with a metallic foreign body in the oesophagus which migrated extraluminally is presented. Hemithyroidectomy was required to gain access for removal of the foreign body. A discussion on the management of such a case follows.
摄入后向管腔外迁移的异物很少见。如果不进行治疗，可能会导致危及生命的并发症。建议通过外部入路探查颈部以取出异物。利用薄层扫描的CT扫描对于定位用于探查的异物非常重要。本文介绍了一例食管内金属异物向管腔外迁移的病例。需要进行半甲状腺切除术以获取取出异物的通路。随后将对此类病例的处理进行讨论。
