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一例食管内长期存在大型异物且无并发症的病例。

A case of the long time presence of a large foreign body in esophagus without complication.

作者信息

Mohajeri Gholamreza, Fakhari Shiva, Ghaffarzadeh Zahra, Piri-Ardakani Mohammadreza

机构信息

Department of Thoracic Surgery, Al Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.

Isfahan Medical Students Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Adv Biomed Res. 2016 Dec 27;5:205. doi: 10.4103/2277-9175.191001. eCollection 2016.

Abstract

Dentures are common accidentally ingested foreign bodies (FBs), especially in the aged population. It is usual for a FB to be swallowed in adults and lodge in the esophagus; however, it is unusual for a denture to remain in esophagus for a period of 9 months without any complication. We present, a 57-year-old deaf mute man swallowed his denture with the chief complaint of dysphagia and odynophagia only after 9 months. Although multiple attempts for removing the denture by rigid esophagoscopy were done, it entered the stomach, so gastrotomy was performed and the patient recovered uneventfully. In all cases with suspicion of esophageal FB, rigid esophagoscopy seems necessary, but in some unusual cases, large FBs may be remained in esophagus for a long time without perforation.

摘要

假牙是常见的意外摄入异物,在老年人群中尤为常见。成人吞下异物并卡在食管中是很常见的情况;然而,假牙在食管中停留9个月而无任何并发症则较为罕见。我们报告了一名57岁的聋哑男子,9个月后因吞咽困难和吞咽痛为主诉而吞下了假牙。尽管多次尝试通过硬式食管镜取出假牙,但假牙进入了胃内,因此进行了胃切开术,患者最终顺利康复。在所有怀疑食管有异物的病例中,硬式食管镜检查似乎是必要的,但在一些不寻常的情况下,较大的异物可能会在食管中长时间停留而不发生穿孔。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eff8/5220683/1bb06eb2d230/ABR-5-205-g001.jpg

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