Aleksandrov Yu K, Semikov V I, Baranov G A, Shulutko A M
Yaroslavl State Medical University, Yaroslavl, Russia.
Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Khirurgiia (Mosk). 2024(10):102-108. doi: 10.17116/hirurgia2024101102.
A rare case of thyroid foreign body is presented. The swallowed fish bone perforated the pharyngeal wall and migrated to the thyroid gland. The rarity of pathology caused diagnostic difficulties. Despite the correct diagnosis, wait-and-see tactics was initially chosen that delayed surgery and contributed to tissue inflammation. The stages of therapeutic and diagnostic process are analyzed. Endoscopy is not always effective, especially when foreign body migrates from pharyngeal lumen into soft tissues. Ultrasound and CT are necessary for topical diagnosis of migrated foreign body. These methods revealed fish bone migration towards cervical vascular bundle and local complications. Literature data and own experience are analyzed. Early surgical treatment guarantees good results and rapid rehabilitation.
本文报道了一例罕见的甲状腺异物病例。吞咽的鱼骨穿透咽壁并迁移至甲状腺。这种病理情况的罕见性导致了诊断困难。尽管诊断正确，但最初选择了观察等待策略，这延迟了手术并导致了组织炎症。分析了治疗和诊断过程的各个阶段。内镜检查并不总是有效，特别是当异物从咽腔迁移到软组织时。超声和CT对于迁移异物的局部诊断是必要的。这些方法显示鱼骨向颈血管束迁移及局部并发症。分析了文献数据和自身经验。早期手术治疗可确保良好效果和快速康复。
