Mohamed Ramlee Fadzrul Abbas, Ibrahim Nurulizzah, Hashim Muhammad H
Orthopaedic Surgery, Hospital Pengajar University Putra Malaysia, Serdang, MYS.
Orthopaedics and Traumatology, Sultan Idris Shah Hospital, Serdang, MYS.
Cureus. 2024 Mar 16;16(3):e56301. doi: 10.7759/cureus.56301. eCollection 2024 Mar.
Fishbone ingestion has been reported multiple times previously as a cause of oesophageal perforation. This is a surgical emergency that needs to be identified early to ensure immediate medical attention. This report presents the case of a 70-year-old patient with laryngeal perforation and the migration of a (Australasian snapper) fishbone to the C5 vertebral body. It is hypothesized that the fishbone migrated from the larynx to the visceral fascia and prevertebral fascia before lodging in between the intramuscular substance of the longus coli muscle. Multiple imaging modalities were used to identify and locate the foreign body, including flexible nasopharyngoscopy, esophagogastroduodenoscopy, and a computed tomography (CT) scan of the neck. The exploration of the neck was done by the ENT team and the orthopaedic spine team via the left anterior cervical approach at the level of the C5 and C6 vertebral bodies. The foreign body was identified (15 mm fishbone) at the left lateral of the C5 body, lodged between the intramuscular substance of the longus coli muscle, and was successfully removed.
鱼骨吞食先前已多次被报道为食管穿孔的原因。这是一种外科急症，需要尽早识别以确保立即得到医疗救治。本报告介绍了一例70岁患者，其出现喉穿孔且一块（澳州笛鲷）鱼骨移位至C5椎体。据推测，鱼骨从喉部移至内脏筋膜和椎前筋膜，之后嵌顿于颈长肌肌质之间。使用了多种成像方式来识别和定位异物，包括纤维鼻咽喉镜检查、食管胃十二指肠镜检查以及颈部计算机断层扫描（CT）。耳鼻喉科团队和骨科脊柱团队通过左侧颈前路在C5和C6椎体水平对颈部进行了探查。在C5椎体左侧发现异物（15毫米鱼骨），嵌顿于颈长肌肌质之间，并成功取出。
