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食管内滞留异物长达十余年:开胸食管切开术取出。

Foreign body retained in the esophagus for more than a decade: thoracic esophagotomy for retrieval.

机构信息

Department of Surgery, Division of Thoracic Surgery, West Virginia University, Morgantown, West Virginia.

Department of Surgery, West Virginia University, Morgantown, West Virginia.

出版信息

Ann Thorac Surg. 2014 Sep;98(3):e73-5. doi: 10.1016/j.athoracsur.2014.05.063.

Abstract

A foreign body (FB) lodged in the esophagus is not uncommon. Although endoscopic removal is successful in the majority of cases, it could prove to be difficult in those whose foreign bodies are large or have been incarcerated for a long time. We describe the case of a 23-year-old woman who had a FB in her esophagus for at least 13 years. She became symptomatic 2 years before presentation, but presented for treatment when dysphagia to both solids and liquids developed. Endoscopic retrieval of the incarcerated FB was unsuccessful, and she eventually required thoracotomy and esophagotomy for its extraction.

摘要

食管内异物并不罕见。虽然内镜下取出术在大多数情况下是成功的,但对于那些异物较大或已嵌顿较长时间的患者,可能会较为困难。我们描述了一例 23 岁的女性,她的食管内异物至少已存在 13 年。她在出现症状前 2 年开始出现症状,但在出现固体和液体吞咽困难时才就诊。内镜下取出嵌顿异物未成功,最终她需要行开胸及食管切开术来取出异物。

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