长期食管异物继发支气管压迫和气管食管瘘
Bronchial Compression and Tracheosophageal Fistula Secondary to Prolonged Esophageal Foreign Body.
作者信息
Liming Bryan J, Fischer Anthony, Pitcher Graeme
机构信息
Department of Otolaryngology-Head and Neck Surgery, University of Iowa Healthcare, Iowa City, Iowa, USA
Department of Pediatrics, Division of Allergy, Immunology and Pulmonology, University of Iowa Healthcare, Iowa City, Iowa, USA.
出版信息
Ann Otol Rhinol Laryngol. 2016 Dec;125(12):1030-1033. doi: 10.1177/0003489416668194. Epub 2016 Sep 7.
INTRODUCTION
Foreign body ingestion is a common pediatric problem that can have a delayed presentation, as presented herein.
CASE REPORT
We present the case of a 15-year-old female who developed bronchial compression and an acquired tracheoesophageal fistula secondary to a longstanding esophageal foreign body.
DISCUSSION
There are several challenges in diagnosis and management of this unusual situation. We review the literature regarding prolonged retention of foreign bodies and the challenges in diagnosis in the developmentally disabled child.
CONCLUSION
Providers must have a high suspicion for foreign bodies in the case of unusual symptoms present in children with neurodevelopmental delays.
引言
异物摄入是一个常见的儿科问题，可能会出现延迟表现，如下文所述。
病例报告
我们报告一例15岁女性病例，该患者因长期食管异物继发支气管受压和后天性气管食管瘘。
讨论
这种特殊情况的诊断和处理存在若干挑战。我们回顾了有关异物长期存留以及发育障碍儿童诊断挑战的文献。
结论
对于神经发育迟缓儿童出现异常症状的情况，医疗人员必须高度怀疑异物存在。
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