Shah Soham, Nemeth Attila
Medical School, Case Western Reserve University School of Medicine, Cleveland, USA.
Internal Medicine, Case Western Reserve University School of Medicine, Cleveland, USA.
Cureus. 2023 Jun 30;15(6):e41212. doi: 10.7759/cureus.41212. eCollection 2023 Jun.
Foreign body ingestion is a problem seen frequently in the emergency department, particularly in children. In this case report, we present an uncommon example: foreign body ingestion in an elderly patient with a history of dementia. This patient's symptoms of dysphagia, cough, and pooling secretions in the posterior oral cavity suggested food impaction, and after further investigation, coins were found in the upper and middle esophagus. Most of the coins were removed, the patient was monitored, and outpatient follow-up was organized to ensure the safe elimination of all the coins. This case illustrates the importance of having a high pretest probability for certain diagnoses based upon how specific patient populations present.
异物摄入是急诊科常见的问题，尤其是在儿童中。在本病例报告中，我们呈现了一个不常见的例子：一位有痴呆病史的老年患者异物摄入。该患者吞咽困难、咳嗽以及口腔后部分泌物积聚的症状提示食物嵌塞，进一步检查后，在上段和中段食管发现了硬币。大部分硬币被取出，对患者进行了监测，并安排了门诊随访以确保所有硬币安全排出。该病例说明了根据特定患者群体的表现对某些诊断具有较高预测试概率的重要性。
