Bonduelle Quentin, Yaro John, Aladham Youssef, Johnston Mark
Otolaryngology, University Hospitals of Leicester, Leicester, GBR.
Otolaryngology, University Hospitals of Derby and Burton, Derby, GBR.
Cureus. 2022 Jan 24;14(1):e21553. doi: 10.7759/cureus.21553. eCollection 2022 Jan.
Acute presentations of paediatric tracheal deviation secondary to neck masses are rare. The differentials are broad and the child may be compromised. Stabilising and resuscitating the child are the primary aims. This case describes a six-year-old boy with a history of neurodevelopmental delay and progressive dysphagia, presenting with an acute history of soft food bolus impaction, significant tracheal deviation and a firm neck lump. We discuss the diagnostic difficulties of the presentation, the work-up and the management of this rare case in the setting of a university hospital in the United Kingdom, with no paediatric intensive care on site.
小儿颈部肿块继发气管偏移的急性表现较为罕见。鉴别诊断范围广泛，患儿可能会出现功能障碍。稳定患儿病情并进行复苏是首要目标。本病例描述了一名6岁男孩，有神经发育迟缓及进行性吞咽困难病史，因软食团块嵌塞、明显气管偏移和颈部硬块急性发作前来就诊。我们讨论了该病例表现的诊断难点、检查方法以及在英国一家大学医院（现场无儿科重症监护）处理这一罕见病例的过程。
