Department of Otolaryngology-Head and Neck Surgery Boston University Medical Center, Boston, MA 02118, USA.
Am J Otolaryngol. 2013 Mar-Apr;34(2):151-3. doi: 10.1016/j.amjoto.2012.09.003. Epub 2012 Dec 12.
This is a 58 year old male who presented to our institution with foreign body sensation after eating fish the night before. Although lateral soft tissue films of the neck demonstrated a linear foreign body, this was missed and the patient was discharged home. One week later, he re-presented with persistent throat pain. A computed tomography scan of the neck demonstrated erosion of the foreign body through the esophageal wall and a rim enhancing collection in the right thyroid lobe. The patient was admitted and broad spectrum antibiotics were started. Using a transoral endoscopic approach the abscess was drained and a 2.0 cm sharp fishbone was successfully removed from a perforation at the esophageal inlet. A nasogastric tube was placed and the patient was kept NPO for 14 days postoperatively while his perforation healed. He had improvement in his symptoms and was stable in follow up.
这是一位 58 岁的男性，前一天晚上吃鱼后出现异物感，来我院就诊。尽管颈部侧位软组织 X 线片显示有线性异物，但这并未被发现，患者被出院回家。一周后，他因持续咽喉痛再次就诊。颈部 CT 扫描显示异物穿过食管壁侵蚀，并在右甲状腺叶有边缘增强的积液。患者被收治入院并开始使用广谱抗生素。通过经口内镜的方法，将脓肿引流，并从食管入口的穿孔处成功取出一根 2.0 厘米长的锐利鱼骨。放置了鼻胃管，患者在术后 14 天内禁食，等待穿孔愈合。他的症状有所改善，在随访中情况稳定。
