O'Connor T E, Cooney T
Department of Otolaryngology, Head and Neck Surgery, Princess Margaret Hospital for Children, Western Australia, Australia.
J Laryngol Otol. 2009 Dec;123(12):1404-6. doi: 10.1017/S0022215109005659. Epub 2009 May 27.
We report the rare case of an oesophageal foreign body which lodged above the site of oesophageal compression by a double aortic arch.
Case report and a review of the literature surrounding the classification, embryology, diagnosis and management of vascular rings and slings.
An eight-month-old male infant presented with symptoms of tracheal compression following ingestion of an oesophageal foreign body. Following removal of the oesophageal foreign body, the infant's symptoms improved initially. However, subsequent recurrence of respiratory symptoms lead to a repeat bronchoscopy and the diagnosis of a coexisting double aortic arch, causing tracheal and oesophageal compression.
To our knowledge, this is only the second reported case of a double aortic arch being diagnosed in a patient following removal of an oesophageal foreign body.
我们报告一例罕见的食管异物病例,该异物嵌顿于双主动脉弓所致食管压迫部位上方。
病例报告,并对围绕血管环和吊带的分类、胚胎学、诊断及管理的相关文献进行综述。
一名8个月大的男婴在摄入食管异物后出现气管受压症状。食管异物取出后,婴儿症状最初有所改善。然而,随后呼吸道症状复发,导致再次进行支气管镜检查,并诊断出并存双主动脉弓,引起气管和食管压迫。
据我们所知,这是第二例在食管异物取出后被诊断出双主动脉弓的病例报告。