Sallam Yasmine T, Jurkiewicz Michael T
Department of Medical Imaging, Schulich School of Medicine and Dentistry, Western University, 339 Windermere Road, London, ON, Canada, N6A 5A5.
Radiol Case Rep. 2020 Jul 9;15(9):1566-1569. doi: 10.1016/j.radcr.2020.06.036. eCollection 2020 Sep.
An 80-year-old woman was seen in the Emergency Department with a history of left jaw pain and headaches, as well as numerous additional comorbidities. Computed tomography examination of the head and face found a circumscribed, ovoid, markedly hyperattenuating mass with areas of internal air within the left buccal space - the density of which was neither that of metal nor bone. After speaking with the patient, she reported having a cough candy in her mouth during the examination. Here we review the imaging appearance of an unusual case of a comestible intraoral foreign body so as to raise awareness of this incidental pseudolesion. Correct recognition of this as an intraoral foreign body rather than true pathology of the oral cavity is important as to save patients the anguish of a significant, albeit incorrect, diagnosis and avoid the additional cost and resource utilization of unnecessary further investigations.
一名80岁女性因左侧颌部疼痛、头痛以及多种其他合并症就诊于急诊科。头部和面部的计算机断层扫描检查发现左侧颊间隙有一个边界清晰的椭圆形、明显高密度肿块，内部有气体区域，其密度既不是金属也不是骨头的密度。与患者交谈后，她报告在检查期间嘴里含着一块止咳糖。在此，我们回顾一例不寻常的可食用口腔内异物病例的影像学表现，以提高对这种偶然出现的假病变的认识。正确将其识别为口腔内异物而非口腔真正的病变很重要，这样可以避免患者因重大但错误的诊断而遭受痛苦，也可避免不必要的进一步检查所带来的额外费用和资源利用。
