Alturkmani Omar G, Al-Badawi Maysa M, Alturkmani Shafeq G, Al-Midani Muhammad H, Attar Shahd A
Gastroenterology, Digestive Disease and Nutrition Center, Burton, USA.
Gastroenterology, Digestive Disease and `Nutrition Center, Burton, USA.
Cureus. 2023 Apr 17;15(4):e37684. doi: 10.7759/cureus.37684. eCollection 2023 Apr.
is a common problem that can result in severe consequences. It occurs commonly in children and rarely in adults. High-risk adults include illicit drug users, prisoners, edentulous adults, alcoholics, psychiatric patients, adults with mental retardation, or those with decreased oral tactile sensation. In adults, most foreign body impactions are seen in patients with pre-existing pathologies, such as malignancy, achalasia, strictures, and esophageal rings. Complications that foreign bodies may cause in some cases are tracheoesophageal fistula, aorto-esophageal fistula, and intramural perforation. This case illustrates the importance of including foreign body ingestion in the differential diagnosis of dysphagia in high-risk groups, even when no clear history suggests this as a cause, which may decrease the complications.
这是一个可能导致严重后果的常见问题。它常见于儿童，在成人中很少见。高危成年人包括非法药物使用者、囚犯、无牙成年人、酗酒者、精神病患者、智力发育迟缓的成年人或口腔触觉减退的人。在成年人中，大多数异物嵌顿见于患有先前存在的疾病的患者，如恶性肿瘤、贲门失弛缓症、狭窄和食管环。异物在某些情况下可能引起的并发症有气管食管瘘、主动脉食管瘘和壁内穿孔。本病例说明了在高危人群吞咽困难的鉴别诊断中纳入异物摄入的重要性，即使没有明确的病史提示这是病因，这可能会减少并发症。
