Alsalamah Raghad K, Alaraifi Abdulaziz K, Alsalem Abdulaziz A, Waheed Khurram
Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.
Otolaryngology-Head and Neck Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, SAU.
Cureus. 2021 Nov 18;13(11):e19708. doi: 10.7759/cureus.19708. eCollection 2021 Nov.
Foreign body ingestion is a common complaint frequently seen in otolaryngology. Some sharp foreign bodies may get impacted in the aerodigestive tract causing a perforation. However, hypopharyngeal perforation is a rare injury that needs early recognition due to its significant morbidity. In this case report, we report a case of hypopharyngeal perforation caused by foreign body ingestion in an adult patient. A 60-year-old female presented with a foreign body sensation in the throat, dysphagia, and odynophagia. A neck CT scan showed a foreign body in the hypopharynx with a collection of free air along the posterior pharyngeal wall. She underwent laryngoscopy and esophagoscopy for examination and foreign body removal. Following the procedure, the patient was treated conservatively for a week and then discharged home in a stable condition. Hypopharyngeal perforation following foreign body ingestion is uncommon. A high index of suspicion is required to reach an early diagnosis and treatment.
异物吞食是耳鼻喉科常见的就诊原因。一些尖锐异物可能嵌顿于气消化道，导致穿孔。然而，下咽穿孔是一种罕见的损伤，因其高发病率需要早期识别。在本病例报告中，我们报告一例成年患者因异物吞食导致下咽穿孔的病例。一名60岁女性出现咽喉部异物感、吞咽困难和吞咽痛。颈部CT扫描显示下咽有异物，沿咽后壁有游离气体积聚。她接受了喉镜和食管镜检查及异物取出术。术后，患者接受了一周的保守治疗，然后病情稳定出院。异物吞食后发生下咽穿孔并不常见。需要高度怀疑才能早期诊断和治疗。
