Department of Otorhinolaryngology-Head and Neck Surgery, Bethune International Peace Hospital, The 980th Hospital of the Joint Logistics Support Force, Shijiazhuang, China.
Department of Pharmacy, The Affiliated Hospital of Hebei University of Engineering, Handan, Hebei, China.
J Int Med Res. 2023 Jul;51(7):3000605231187947. doi: 10.1177/03000605231187947.
We describe the case of a patient who swallowed a small fish bone and felt it lodge in her pharynx, but failed to seek medical attention in a timely manner. One week later, no foreign body was found in the hypopharynx or larynx, but a small purulent cyst was present in the epiglottic vallecula. A computed tomography scan showed a high-density area on the lingual surface of the epiglottis, which was considered to represent an embedded fish bone. A week later, the patient's discomfort had subsided, and flexible videoendoscopy showed that the purulent cyst in the epiglottic vallecula had disappeared. We surmise that the purulent cyst had ruptured spontaneously and the foreign body had been discharged. This represents an example of how an impacted small foreign body may be spontaneously discharged from the body.
一位患者误咽小鱼骨刺后自觉鱼刺嵌顿于咽部，但未及时就医。1 周后，下咽及喉部未见异物，但会厌谷处见一较小脓性囊腔。CT 示会厌舌面见一高密度影，考虑为嵌顿鱼骨。1 周后，患者自觉症状缓解，行软式内镜检查见会厌谷脓性囊腔消失，考虑囊腔已自行破溃，异物排出。本例提示较小的嵌顿异物可自行排出。
