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靠近右侧颈动脉鞘的穿透性游走异物（蟹腿）颈部探查：来自阿拉伯联合酋长国（阿联酋）的罕见病例

The Neck Exploration of Penetrating Migratory Foreign Body (Crab Leg) Approaching the Right Carotid Sheath: A Rare Case From the United Arab Emirates (UAE).

作者信息

Abualhab Mutaz M, Kashmoola Ali A, Abo El Ezz Tamer, Gemi Ragai

机构信息

Medicine, University of Sharjah College of Medicine, Sharjah, ARE.

Otolaryngology-Head and Neck Surgery, Al Qassimi Hospital, Sharjah, ARE.

出版信息

Cureus. 2024 Dec 2;16(12):e74961. doi: 10.7759/cureus.74961. eCollection 2024 Dec.

DOI:10.7759/cureus.74961
PMID:39744298
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11688930/
Abstract

Foreign body ingestion is a problem that commonly presents in almost all otolaryngologic practices. However, less commonly do those foreign bodies perforate, migrate to, and impact the soft tissue of the neck while nearly invading the carotid sheath that accommodates the major neurovascular supply of the head. We report the case of a patient who had radiologic evidence of foreign body impaction and required neck exploration through an external approach to retrieve a crab leg embedded far within the deep cervical fascia.

摘要

异物吞食是几乎在所有耳鼻喉科诊疗中都会常见出现的问题。然而，异物穿孔、迁移至并嵌顿于颈部软组织，同时几乎侵犯容纳头部主要神经血管供应的颈动脉鞘的情况则较少见。我们报告一例患者，其有异物嵌顿的影像学证据，需要通过外部入路进行颈部探查，以取出深埋于颈深筋膜内的蟹腿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbb6/11688930/2f26ac0df3fd/cureus-0016-00000074961-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbb6/11688930/10bb17e968ba/cureus-0016-00000074961-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbb6/11688930/85f2ad1e9156/cureus-0016-00000074961-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbb6/11688930/663875e69a45/cureus-0016-00000074961-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbb6/11688930/2528b5353c3f/cureus-0016-00000074961-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbb6/11688930/2f26ac0df3fd/cureus-0016-00000074961-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbb6/11688930/10bb17e968ba/cureus-0016-00000074961-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbb6/11688930/85f2ad1e9156/cureus-0016-00000074961-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbb6/11688930/663875e69a45/cureus-0016-00000074961-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbb6/11688930/2528b5353c3f/cureus-0016-00000074961-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbb6/11688930/2f26ac0df3fd/cureus-0016-00000074961-i05.jpg

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本文引用的文献

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Aorto-esophageal fistula caused by fishbone ingestion: a case report on staged endovascular and endoscopic treatment.鱼骨吞食致主动脉食管瘘：分期血管内治疗与内镜治疗1例报告
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2000 年至 2017 年美国成人故意和意外吞食异物的趋势和临床特征。
Gastrointest Endosc. 2020 Feb;91(2):350-357.e1. doi: 10.1016/j.gie.2019.09.010. Epub 2019 Sep 14.
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Fish Bone Foreign Body: The Role of Imaging.鱼骨异物：影像学的作用
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Foreign Bodies on Lateral Neck Radiographs in Adults: Imaging Findings and Common Pitfalls.成人颈部侧位X线片上的异物：影像学表现及常见陷阱
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Clinical guidelines for imaging and reporting ingested foreign bodies.影像学检查及报告吞食异物临床指南
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