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[食管鱼骨迁移至肺部;一例报告]

[Esophageal fish bone migrating to the lung; report of a case].

作者信息

Fujino Kousuke, Mori Takeshi, Yoshimoto Kentaro, Ohba Yasuomi, Ikeda Koei, Shiraishi Kenji, Hayashi Kouji, Suzuki Makoto

机构信息

Department of Surgery, Kumamoto Red Cross Hospital, Kumamoto, Japan.

出版信息

Kyobu Geka. 2012 Sep;65(10):922-5.

Abstract

A 55-year-old female felt a transient chest pain soon after a fish meal. Sixteen days later she presented a local clinic with fever of 38°C. After chest computed tomography( CT) and upper gastrointestinal endoscopy showed fish bone embedded in the wall of the middle portion of the esophagus, she referred to our hospital 22 days after the meal. Thirty days after the meal ,endoscopic removal of the fish bone was challenged bygastroentenologists in vain. Chest CT after the attempt showed migration of the fish bone to the lung adjacent to the right inferior pulmonary vein. The fish bone which stuck out from the lung after division of the pulmonary ligament was removed successfully under thoracoscopic surgery. The patient is well 26 months after the surgery.

摘要

一名55岁女性在进食鱼餐不久后感到短暂胸痛。16天后,她因发热38°C前往当地诊所就诊。胸部计算机断层扫描(CT)和上消化道内镜检查显示鱼骨嵌顿在食管中段壁内,进食22天后她转诊至我院。进食30天后,胃肠病学家尝试内镜下取出鱼骨但未成功。尝试后胸部CT显示鱼骨迁移至右肺下静脉旁的肺部。在切断肺韧带后从肺部突出的鱼骨在胸腔镜手术下成功取出。术后26个月患者情况良好。

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