Apandi Afena, Gendeh Hardip Singh, Zakaria Siti Nor Asiah, Mohamad Amran, Borian Nor Diana
Department of Otorhinolaryngology - Head & Neck Surgery, Faculty of Medicine, Universiti Kebangsaan, Kuala Lumpur, Malaysia.
Hospital Canselor Tuanku Muhriz, Jalan Yaacob Latif, Bandar Tun Razak, Kuala Lumpur, Malaysia.
Indian J Otolaryngol Head Neck Surg. 2024 Dec;76(6):5839-5842. doi: 10.1007/s12070-024-04779-5. Epub 2024 Sep 11.
Extraluminal foreign bodies are rare. Fish bone is the most common foreign body ingested by adults, while coin is the most common foreign body ingested among children. Sharp pricking pain is a sign of sharp foreign body (FB) ingestion. If the symptom persists, one should keep in mind the possibility of a migratory foreign body, even if the esophagoscopy results are negative. In order to ensure that foreign bodies are not missed radiologically, there is the role of consultation from a second radiologist to correlate with the patient's symptoms. Here we present an atypical case of recurrent neck abscess due to a migrating fishbone that penetrated the left thyroid lobe and settled in the left lower third neck subcutaneous tissue within two months.
The online version contains supplementary material available at 10.1007/s12070-024-04779-5.
管腔外异物较为罕见。鱼骨是成年人最常见的吞食异物,而硬币是儿童最常见的吞食异物。尖锐刺痛是吞食尖锐异物的体征。如果症状持续存在,即使食管镜检查结果为阴性,也应考虑异物迁移的可能性。为确保在放射学检查中不漏诊异物,需要第二位放射科医生会诊以与患者症状相关联。在此,我们报告一例非典型病例,一枚迁移的鱼骨导致复发性颈部脓肿,该鱼骨穿透左甲状腺叶,并在两个月内定居于左颈部下三分之一皮下组织。
在线版本包含补充材料,可在10.1007/s12070-024-04779-5获取。