Med Princ Pract. 2017;26(4):390-392. doi: 10.1159/000477403. Epub 2017 May 10.
To report the removal of an ingested clam shell that was firmly impacted in the esophagus.
A 77-year-old man presented at our hospital with acute dysphagia after eating a seafood risotto. An urgent dedicated examination (noncontrast helical multislice computed tomography scan of the neck and flexible esophagoscopy) detected a clam shell lodged in the upper esophagus. After several unsuccessful endoscopic attempts, a lifesaving cervical esophagotomy was performed and the foreign body was retrieved.
This patient who ingested clam shell recovered well following the retrieval of the foreign body by performing a lifesaving cervical esophagotomy.
报告一例成功取出食管内牢固嵌顿的蛤蜊壳的病例。
一名 77 岁男性在食用海鲜意式炖饭之后,出现急性吞咽困难,来我院就诊。紧急行专项检查(颈部非增强螺旋多层 CT 扫描和软性食管镜检查)发现,一枚蛤蜊壳嵌顿于食管上段。多次尝试内镜下取异物失败后,行救命性颈段食管切开术,并成功取出异物。
该患者因成功取出嵌顿于食管的异物,行救命性颈段食管切开术后,恢复良好。