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临床诊断影像学(142)。颈段食管嵌塞局部义齿。

Clinics in diagnostic imaging (142). Cervical oesophagus impacted partial denture.

机构信息

Department of Diagnostic Radiology, Khoo Teck Puat Hospital, Singapore.

出版信息

Singapore Med J. 2012 Oct;53(10):690-2; quiz 693.

Abstract

A 58-year-old man presented to the emergency department with sudden pain and odynophagia after drinking water. The patient thought that part of his lower denture may have fallen into his throat. There was moderate tenderness over the lower anterior neck. Radiographs of the neck were normal. Computed tomography showed an impacted partial denture in the upper oesophagus, which was removed by rigid endoscopy. Recheck endoscopy showed a superficial mucosal laceration at 18 cm. Ingestion of dental prostheses is common among the elderly population. The role of imaging in the early detection of ingested foreign bodies, particularly nonradio-opaque ones, is discussed.

摘要

一位 58 岁男性在饮水后突然出现疼痛和吞咽困难,前往急诊科就诊。患者认为部分下颌义齿可能已掉入其喉咙。下颈部前侧有中度压痛。颈部 X 线片未见异常。计算机断层扫描显示上食管内有部分义齿嵌顿,通过硬性内镜取出。再次内镜检查显示 18 厘米处有浅表黏膜裂伤。老年人中吞食义齿较为常见。本文讨论了影像学在早期检测吞食异物(尤其是不透射线异物)中的作用。

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