Byard R W, Moore L, Bourne A J
Department of Histopathology, Adelaide Children's Hospital, Australia.
Pediatr Pathol. 1990;10(5):837-41. doi: 10.3109/15513819009064718.
Acute upper airway obstruction in a 4-month-old male infant who presented as sudden infant death syndrome is described. At autopsy external tracheal compression and tracheobronchitis with plugging of the trachea and bronchi by an abundant mucopurulent exudate were found. The source of the inflammation was the adjacent esophagus where previous impaction of a coin had caused pressure necrosis with mucosal erosion and transmural granulation tissue formation. This case is reported to demonstrate that foreign bodies that remain in the esophagus, having by-passed the larynx, may still result in upper airway obstruction and death in early infancy by this unusual mechanism.
描述了一名4个月大男婴出现急性上呼吸道梗阻，最初表现为婴儿猝死综合征。尸检发现气管外部受压，气管支气管炎，气管和支气管被大量黏液脓性渗出物堵塞。炎症来源是相邻的食管，此前一枚硬币嵌顿导致压迫性坏死，伴有黏膜糜烂和透壁性肉芽组织形成。报告该病例是为了证明，留在食管内、绕过喉部的异物，仍可能通过这种不寻常的机制导致婴儿早期上呼吸道梗阻和死亡。
