Mathew Elizabeth, Myuran Tharsika, Ching Hoi-Yi
ENT Department, Wexham Park Hospital, Wexham Park, UK.
Basildon and Thurrock University Hospital, Basildon, UK.
BMJ Case Rep. 2018 Jun 23;2018:bcr-2017-220066. doi: 10.1136/bcr-2017-220066.
Fish bone ingestion is a common presentation in ENT. If not managed correctly, it can cause serious complications for the patient and dilemmas for the clinician. A 49-year-old Sri Lankan woman presented to the emergency department following shark bone ingestion with a 'pricking' sensation in her throat. After initial investigation, the bone migrated through to the sternocleidomastoid muscle. After surgical removal of the shark bone she went on to develop a large neck collection, which required surgical drainage. The careful attention to the patient's history and use of imaging facilitated treatment in this case of fish bone ingestion and management of the sequelae.
鱼骨吞食是耳鼻喉科的常见病症。如果处理不当，可能会给患者带来严重并发症，也会给临床医生带来难题。一名49岁的斯里兰卡女性在吞食鲨鱼骨后因喉咙有“刺痛”感而前往急诊科就诊。初步检查后，鱼骨迁移至胸锁乳突肌。手术取出鲨鱼骨后，她出现了颈部大量积液，需要进行手术引流。在这例鱼骨吞食及后遗症处理的病例中，对患者病史的仔细询问和影像学检查的运用有助于治疗。
