Fu Jing Hui, Loke Sheih Nee, Tan Shong Sheng, Abdul Rahman Nurhani Yasmin, Siow Sze Li
Faculty of Medicine, University of Malaya, Kuala Lumpur, MYS.
Department of General Surgery, Sarawak General Hospital, Kuching, MYS.
Cureus. 2024 Sep 13;16(9):e69316. doi: 10.7759/cureus.69316. eCollection 2024 Sep.
Having a large live fish stuck in the throat is rare and prompts the urgent need to secure a definitive airway. Such sizeable foreign body (FB) in the aerodigestive tract also poses a constant threat of hollow viscus perforation, and the removal process can be complex. This report describes a fishing mishap causing the impaction of a large live fish in the laryngopharynx and esophagus, leading to respiratory distress and upper esophageal perforation. The paper highlights the mechanism of injury, emergent airway management, anatomical consideration of the location of the FB, and technical challenges in FB removal. After endotracheal intubation, the depth and location of the live fish were confirmed with a plain radiograph. The removal of the live fish was eventually successful after dislodging its fins from the laryngopharynx and rotating its head out from the upper esophagus endoscopically. The upper esophageal perforation healed with non-operative management, and the patient was discharged well.
一条大鱼卡在喉咙里的情况很罕见，这促使人们迫切需要确保建立一个确定性气道。如此大的异物（FB）存在于气道消化道中也会持续构成中空脏器穿孔的威胁，并且取出过程可能很复杂。本报告描述了一起钓鱼意外事件，导致一条大鱼卡在喉咽和食管，引发呼吸窘迫和食管上段穿孔。本文重点介绍了损伤机制、紧急气道管理、异物位置的解剖学考量以及异物取出的技术挑战。经气管插管后，通过X线平片确认了活鱼的深度和位置。在内镜下将活鱼的鳍从喉咽中拨开并将其头部从上段食管转出后，最终成功取出了活鱼。食管上段穿孔通过非手术治疗得以愈合，患者康复出院。
