Taha A S, Nakshabendi I, Russell R I
Gastroenterology Unit, Royal Infirmary, Glasgow, UK.
Postgrad Med J. 1992 Apr;68(798):277-8. doi: 10.1136/pgmj.68.798.277.
A 61 year old man died after presenting with a 24 h history of haematemesis and haemoptysis, and one year history of hoarseness of voice. Post-mortem examination showed a dental plate eroding through the mid-oesophagus into a bronchus and into the descending arch of the aorta, with scarring suggestive of old perforation. An organized haematoma also involved the left recurrent laryngeal nerve. Vocal cord paralysis may be a manifestation of foreign body-induced oesophageal perforation, which can lead to death from an oesophago-broncho-aortic fistula. Both complications of oesophageal perforation from a foreign body have not to our knowledge been previously reported.
一名61岁男性，在出现呕血和咯血24小时病史以及声音嘶哑1年病史后死亡。尸检显示一块假牙板从中段食管穿破进入支气管并累及主动脉降弓，伴有提示陈旧性穿孔的瘢痕形成。一个机化性血肿也累及左喉返神经。声带麻痹可能是异物所致食管穿孔的一种表现，可导致食管 - 支气管 - 主动脉瘘而死亡。据我们所知，异物导致食管穿孔的这两种并发症此前均未见报道。
