Wosornu L, Paonasker V
Med J Zambia. 1978 Jun-Jul;12(3):83-5.
An unusual case of foreign body in the oesophagus is reported. A history of dysphagia was absent although oesophageal obstruction was total; the retained foreign body was vegetable matter. An unusual radiological appearance, "the inverted wine-glass sign" is described. Pure water depletion was diagnosed there being dehydration combined with hypernatraemia (Na = 164MEq/L), normokalaemia (K+ = 4.2mEq/L), and acidosis (Serum bicarbonate = 10 mEq/L), as well as uraemia (220 mg%), and haemoconcentration (haemoglobin=18.5g%). Treatment with oesophageal lavage and intravenous fluids was successful.
报告了一例罕见的食管异物病例。尽管食管完全梗阻，但患者并无吞咽困难病史；滞留的异物为植物性物质。文中描述了一种异常的放射学表现，即“倒酒杯征”。诊断为单纯性缺水，伴有脱水合并高钠血症（钠=164毫当量/升）、正常血钾（钾离子=4.2毫当量/升）和酸中毒（血清碳酸氢盐=10毫当量/升），以及尿毒症（220毫克%）和血液浓缩（血红蛋白=18.5克%）。食管灌洗和静脉补液治疗取得成功。
