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腐蚀性食管异物的罕见气管内移位

Unusual intra-tracheal migration of a corrosive esophageal foreign body.

作者信息

Ouédraogo Richard Wend-Lasida, Traore Ibraïma, Millogo Mathieu

机构信息

Department of Oto Rhino Laryngology in the Academic Hospital Sanou Sourô, Bobo- Dioulasso, Burkina Faso.

Higher Institute of Health Sciences, Nazi Boni University, Bobo-Dioulasso, Burkina Faso.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):1092-1094. doi: 10.1007/s12070-023-04133-1. Epub 2023 Aug 26.

Abstract

: intra-tracheal migration of esophageal foreign body is very uncommon and dangerous. It is most often caused by a vulnerable foreign body accidentally swallowed. We report the first observation of intra-tracheal migration of corrosive battery in our practice, with review of the literature. : It was a three-years-old girl received in ENT with dyspnea occurred on a chronic dysphagia. The chest x-ray revealed an endotracheal opacity. This proved to be a button battery that migrated into the trachea through an eso-tracheal perforation. Due to this situation, an emergency medico-surgical care was stored, with a favorable evolution at the cost of a laborious management of the residual fistula. : Classically innocuous, esophageal foreign body can be unnoticed and became extra-esophageal through esophageal migration in general and tracheal in particular, thus transforming a chronic digestive problem into an expressive respiratory emergency.

摘要

气管内食管异物迁移非常罕见且危险。它最常由意外吞咽的易损异物引起。我们报告了在我们的实践中首次观察到腐蚀性电池气管内迁移的病例,并对文献进行了回顾。这是一名3岁女童,因慢性吞咽困难出现呼吸困难而入住耳鼻喉科。胸部X线显示气管内有不透光区。经证实是一枚纽扣电池通过食管气管穿孔迁移至气管。鉴于此情况,进行了紧急药物和手术治疗,尽管对残留瘘管的处理很费力,但病情最终向好发展。通常无害的食管异物可能未被注意到,并通过食管迁移,尤其是迁移至气管而进入食管外,从而将慢性消化问题转变为明显的呼吸急症。

相似文献

1
Unusual intra-tracheal migration of a corrosive esophageal foreign body.腐蚀性食管异物的罕见气管内移位
Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):1092-1094. doi: 10.1007/s12070-023-04133-1. Epub 2023 Aug 26.
2
An unusual cause of tracheal stenosis.气管狭窄的一种罕见病因。
Can J Anaesth. 2000 Mar;47(3):261-4. doi: 10.1007/BF03018924.
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[A case of esophageal tracheal fistula caused by button cell].纽扣电池致食管气管瘘1例
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Oct;32(20):1590-1591. doi: 10.13201/j.issn.1001-1781.2018.20.014.

本文引用的文献

2
Management of foreign bodies in the airway and oesophagus.气道和食管异物的处理
Int J Pediatr Otorhinolaryngol. 2012 May 14;76 Suppl 1:S84-91. doi: 10.1016/j.ijporl.2012.02.010. Epub 2012 Feb 24.
4
[Surgery for intra-bronchial foreign bodies].
Ann Chir. 2002 Jun;127(6):456-60. doi: 10.1016/s0003-3944(02)00795-2.

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