Tavares Ricardo, Taghi Ali, Hewitt Richard, Bentley Melissa
Charing Cross Hospital, ENT, Head and Neck Surgery, Fulham Palace Road, London, W6 8RF, UK.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.07.2009.2097. Epub 2009 Aug 19.
An interesting case of a middle-aged woman who sustained oral lacerations and pharyngeal tear/perforation on opening a bottle of Lambrini sparkling wine with her teeth is presented. The patient presented to the Accident and Emergency (A&E) department with bleeding from the mouth and dyspnoea, and on examination had a neck surgical emphysema and visible laceration to the oropharynx. On further investigation, including a range of imaging modalities, a diagnosis of pharyngeal tear/perforation was made, detected on a gastrograffin swallow test. The patient was subsequently treated conservatively, being kept nil by mouth and fed through a nasogastric tube, with prophylactic antibiotic cover. The patient was re-imaged 1 week later, which displayed complete resolution of the tear, and was subsequently discharged on a normal oral diet.
本文报告了一例有趣的病例，一名中年女性用牙齿打开一瓶蓝布瑞尼起泡酒时，口腔撕裂，咽部撕裂/穿孔。患者因口腔出血和呼吸困难就诊于急诊部，检查发现有颈部手术性气肿，口咽可见撕裂伤。进一步检查，包括一系列影像学检查，通过泛影葡胺吞咽试验诊断为咽部撕裂/穿孔。患者随后接受保守治疗，禁食，通过鼻胃管进食，并给予预防性抗生素治疗。1周后对患者进行复查成像，显示撕裂伤完全愈合，随后患者恢复正常饮食并出院。
