Vallamkondu V, Carlile S, Shakeel M, Ah-See K W
Department of ENT, Aberdeen Royal Infirmary, Aberdeen, UK.
BMJ Case Rep. 2013 Nov 18;2013:bcr2013201832. doi: 10.1136/bcr-2013-201832.
A 57-year-old Caucasian man, otherwise fit and well, presented with a 2-week history of dysphagia, odynophagia. Two weeks prior to the presentation, he had felt a fishbone stuck in his throat which was self-extruded after 3 days. Subsequently he developed a right anterior neck swelling and hoarseness. Transnasal endoscopic examination of larynx revealed an injected and oedematous right hemilarynx with right vocal cord paresis. An ultrasound examination of the neck confirmed a collection in the neck on the right side, and frank pus was aspirated from the neck abscess and he responded well to conservative management. Subsequent examination in follow-up had shown complete recovery of vocal cord movement. The patient did not seek medical attention immediately after getting a 5 cm fishbone extruded from the throat which resulted in significant morbidity. All patients should be alerted to the possibility of delayed complications and they should be encouraged to seek urgent medical attention.
一名57岁的白种男性，其他方面健康良好，出现吞咽困难、吞咽痛2周病史。在就诊前两周，他感觉有一根鱼刺卡在喉咙里，3天后自行排出。随后他出现右前颈部肿胀和声音嘶哑。经鼻喉镜检查显示右侧半喉充血水肿，右侧声带麻痹。颈部超声检查证实右侧颈部有一积液，从颈部脓肿中抽出了脓性液体，他对保守治疗反应良好。后续随访检查显示声带运动完全恢复。该患者在一根5厘米长的鱼刺从喉咙排出后未立即就医，导致了严重的发病情况。应提醒所有患者注意延迟并发症的可能性，并鼓励他们寻求紧急医疗救治。
