Yang Liu, Li Wen
Department of Otolaryngology and Head & Neck Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
World J Clin Cases. 2021 Oct 26;9(30):9129-9133. doi: 10.12998/wjcc.v9.i30.9129.
Foreign body in the deep neck is mostly associated with accidental ingestion of the animal spiculate bone which penetrates the full-thickness of the aerodigestive tract into the fascial spaces of the neck. In general, perforation of the esophagus often results in periesophagitis and even fatal abscesses. The presence of a giant foreign body in the neck without obvious symptoms or complications for many years is rare.
We present the case of a 32-year-old man who intentionally swallowed a thermometer which was unable to be located by endoscopy at his initial visit. He had no remarkable symptoms for 5 years other than paresthesia and limited movement of the left neck until 7 d before this admission. The foreign body was removed successfully by the surgery.
The presence of a giant foreign body in the neck without obvious symptoms or complications for many years is rare. Both endoscopic and radiological examinations are essential for the diagnosis of alimentary foreign bodies.
颈部深部异物大多与意外吞食动物尖刺状骨头有关，这些骨头会穿透消化道全层进入颈部筋膜间隙。一般来说，食管穿孔常导致食管周围炎，甚至引发致命性脓肿。颈部存在巨大异物且多年无明显症状或并发症的情况较为罕见。
我们报告一例32岁男性病例，该患者故意吞食了一支温度计，初诊时经内镜检查未能发现异物。在此次入院前7天，除了左侧颈部感觉异常和活动受限外，他5年来并无明显症状。异物最终通过手术成功取出。
颈部存在巨大异物且多年无明显症状或并发症的情况较为罕见。内镜检查和放射学检查对于消化道异物的诊断均至关重要。
