一例罕见的颈部肿块：误食鸡骨
An Unusual Neck Mass: Ingested Chicken Bone.
作者信息
Demirhan Erhan, İber Metin, Yağız Özlem, Kandoğan Tolga, Çukurova İbrahim
机构信息
Department of Otorhinolaryngology Head and Neck Surgery, Tepecik Training and Research Hospital, İzmir, Turkey.
出版信息
Balkan Med J. 2016 Nov;33(6):695-697. doi: 10.5152/balkanmedj.2016.150779. Epub 2016 Nov 1.
BACKGROUND
Foreign bodies in the upper aerodigestive tract are frequently seen in otolaryngological practice, but migration of an ingested foreign body to the neck is a very rare condition.
CASE REPORT
We present a 66-year-old woman admitted to our outpatient department with a painful neck mass. She had a history of emergency department admission 4 months prior with odynophagia after eating chicken meal. A physical examination revealed a painful and hyperemic mass on the left neck. Antibiotherapy did not relieve the patient's symptoms and signs. A 3-cm linear foreign body was observed in X-ray and computed tomography scans. The symptoms of the patient were relieved after excision of the foreign body.
CONCLUSION
Although it is a rare situation, migration of a foreign body ingested through the aerodigestive tract to the neck should be kept in mind in the differential diagnosis of patients who present with neck masses.
背景
上呼吸道消化道异物在耳鼻喉科临床实践中较为常见，但吞食异物迁移至颈部是一种非常罕见的情况。
病例报告
我们报告一名66岁女性因颈部疼痛性肿块入住我院门诊。她4个月前因进食鸡肉餐后出现吞咽疼痛曾入住急诊科。体格检查发现左侧颈部有一个疼痛且充血的肿块。抗生素治疗未能缓解患者的症状和体征。X线和计算机断层扫描观察到一个3厘米长的线状异物。异物切除后患者症状缓解。
结论
尽管这种情况罕见，但在对有颈部肿块的患者进行鉴别诊断时，应考虑吞食的异物通过呼吸道消化道迁移至颈部的情况。
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