Tuang Geng Ju, Nik Hussin Nik Roslina, Zainal Abidin Zainal Azmi
Otorhinolaryngology, Head and Neck Surgery, Hospital Selayang, Batu Caves, Malaysia.
Fam Med Community Health. 2019 Jul 5;7(3):e000137. doi: 10.1136/fmch-2019-000137. eCollection 2019.
Unilateral rhinorrhoea in the paediatric age group could be an alarming sign that warrants a clinician attention. These patients are routinely brought to see general practitioner as parents may not be aware of the urgency to intervene surgically. Herein we describe a case of a toddler who presented initially to a general practitioner with unilateral nasal discharge. He was subsequently referred to the otorhinolaryngology department for unresolved rhinitis. The child was examined, and the diagnosis of an embedded foreign body was made. X-ray of the paranasal sinus unveiled an embedded button battery. An emergency endoscopic retrieval of the button battery was performed under general anaesthesia. Unfortunately, the case was complicated with a huge septal perforation.
小儿单侧鼻漏可能是一个警示信号,值得临床医生关注。这些患儿通常会被带去看全科医生,因为家长可能没有意识到手术干预的紧迫性。在此,我们描述一例幼儿病例,该幼儿最初因单侧鼻分泌物增多就诊于全科医生。随后,由于鼻炎未愈,他被转诊至耳鼻喉科。对该患儿进行了检查,诊断为有异物嵌顿。鼻窦X线检查发现一枚嵌顿的纽扣电池。在全身麻醉下对纽扣电池进行了紧急内镜取出。不幸的是,该病例并发了巨大的鼻中隔穿孔。