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多年后出现急性吞咽困难的迁移性食管异物:一例报告

Migrated esophageal foreign body presents as acute onset dysphagia years later: A case report.

作者信息

Shew Matthew, Jiang Zi, Bruegger Daniel, Arganbright Jill

机构信息

Department of Otolaryngology Head and Neck Surgery, University of Kansas School of Medicine, Kansas City, KS, USA.

Department of Otolaryngology Head and Neck Surgery, Children's Mercy, Kansas City, MO, USA.

出版信息

Int J Pediatr Otorhinolaryngol. 2015 Dec;79(12):2460-2. doi: 10.1016/j.ijporl.2015.10.014. Epub 2015 Oct 23.

Abstract

Ingested esophageal foreign bodies are commonly seen in the pediatric population. Rarely do they perforate and migrate through neck fascial planes asymptomatically. We present a case of an otherwise healthy 11 year old with sudden onset dysphagia that based on MRI and CT findings was most consistent with an esophageal duplication cyst. However upon surgical exploration, a circular disk like foreign body was identified adjacent to the esophagus. Given the patient's age and no reports of purposeful ingestion, it is most likely the patient had ingested this disk foreign body in early childhood, leaving her asymptomatic for 8 years prior to presentation.

摘要

摄入性食管异物在儿童群体中很常见。它们很少会无症状地穿孔并通过颈部筋膜平面迁移。我们报告一例病例,一名11岁原本健康的儿童突然出现吞咽困难,根据磁共振成像(MRI)和计算机断层扫描(CT)结果,最符合食管重复囊肿的表现。然而,手术探查时,在食管附近发现了一个圆盘状异物。考虑到患者的年龄以及无故意摄入的报告,很可能患者在幼儿期摄入了这个圆盘状异物,在出现症状前8年一直无症状。

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