Shilston J, Foo S H, Oko M
Pilgrim Hospital, Boston (East Midlands Strategic Health Authority), Polegate, UK.
BMJ Case Rep. 2011 Jan 11;2011:bcr0920103352. doi: 10.1136/bcr.09.2010.3352.
This is a case report of an 80-year-old woman who presented to the ENT services with multiple non-specific upper aerodigestive tract symptoms. Despite extensive investigation and treatment, her symptoms remained unalleviated with significant impact on the psychological morbidity. During a routine flexible nasoendoscopy for worsening globus pharnygis, a mass was noted in the right Rosenmüller's fossa, where the Eustachian tube leaves the lateral wall of the nasopharynx. A CT scan showed this to be a 10 mm calcified entity within the right Eustachian tube. It was subsequently removed under local anaesthesia providing much relief to the patient. Histology showed this mass to be a rhinolith.
这是一例80岁女性的病例报告,该患者因多种非特异性上呼吸道和消化道症状就诊于耳鼻喉科。尽管进行了广泛的检查和治疗,但其症状仍未缓解,对心理状态产生了重大影响。在因咽部异物感加重而进行的常规软性鼻内镜检查中,发现右侧咽隐窝(咽鼓管离开鼻咽侧壁处)有一肿物。CT扫描显示这是位于右侧咽鼓管内的一个10毫米钙化肿物。随后在局部麻醉下将其切除,患者症状大为缓解。组织学检查显示该肿物为鼻石。