Barlow Jessica A, Larson Neil P, Wray Jesse, Bridwell Rachel E
Emergency Medicine, San Antonio Uniformed Services Health Education Consortium, San Antonio, USA.
Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, USA.
Cureus. 2020 Jul 19;12(7):e9286. doi: 10.7759/cureus.9286.
Delayed presentation of esophageal foreign bodies places patients at high risk for esophageal perforation and infection. In nonverbal patients as well as children and adults with other concomitant illnesses, it is important to consider a broad differential diagnosis for presentations with upper respiratory complaints. The authors present a case of a nonverbal, elderly woman who presented after several days of mild, dry cough and was ultimately found to have a large esophageal foreign body that had been present for an unclear amount of time.
食管异物延迟就诊会使患者面临食管穿孔和感染的高风险。对于无语言表达能力的患者以及患有其他合并症的儿童和成人，在出现上呼吸道症状时，进行广泛的鉴别诊断很重要。作者报告了一例无语言表达能力的老年女性病例，该患者在出现轻度干咳几天后就诊，最终发现有一个存在时间不明的大型食管异物。
