Hsieh Julien W, Dulguerov Nicolas, Mermod Maxime
Department of Otorhinolaryngology- Head and Neck Surgery, Geneva University Hospitals, 4 rue Gabrielle-Perret-Gentil, CH-1211 Geneva 14, Switzerland.
Radiol Case Rep. 2022 Sep 26;17(12):4478-4480. doi: 10.1016/j.radcr.2022.09.012. eCollection 2022 Dec.
Fishbone impactions in the upper aerodigestive tract are frequent but rarely cause serious complications when recognized and treated early. In this report, we describe the case of a patient that sought medical attention as late as 2 weeks after the fishbone impaction. A 52-year-old male was presented with fever, odynophagia and a toxic appearance. CT scan revealed a large cervicomediastinal abscess. The patient was immediately started on large-spectrum antibiotics, treated by surgical drainage, and recovered uneventfully. This case report highlights the occurrence of severe complications of upper digestive tract fishbone impaction and the usefulness of a preoperative CT scanner in this context.
上消化道鱼骨嵌顿很常见，但如果能早期识别并治疗，很少会引起严重并发症。在本报告中，我们描述了一例患者，其在鱼骨嵌顿后长达2周才就医。一名52岁男性出现发热、吞咽痛和中毒面容。CT扫描显示巨大的颈纵隔脓肿。患者立即开始使用广谱抗生素治疗，并接受手术引流，最终顺利康复。本病例报告强调了上消化道鱼骨嵌顿严重并发症的发生情况以及术前CT扫描在这种情况下的作用。
