吞入性上消化道異物移位至頸部－病例報告

Extraluminal Migration of Swallowed Foreign Body into the Neck – Case Report

陳勃旭(Po-Hsu Chen) ； 吳俊良(Jiunn-Liang Wu)

《中華民國耳鼻喉科醫學會雜誌》 33卷5期 (1998/10) Pp. 550-553

https://doi.org/10.6286/1998.33.5.550

摘要

吞入性異物移位至上消化道外的病例非常罕見，文獻中只有零星的病例報告。成大醫院於1998年3月間，經歷1例，因誤食魚刺而以頸部皮下移位表現的病例。食道鏡檢查未發現有異物，且下咽部及食道之黏膜皆完整而無撕裂傷。但病患於頸部皮下可觸摸到一細長針狀物，於是實行頸部探查術，順利取出一長約2 cm之魚刺。術後病人症狀緩解且無合併病產生。

關鍵字

異物 ； 消化道外移位

並列摘要

Extraluminal migration of swallowed foreign body is rare. Only a few cases were reported in the literature. We present a case of extraluminal migration of a swallowed fish bone into the neck in March 1998. A 88-year-old female was referred to our Emergent Department with the complaint of odynophagia and dysphagia after eating the fish 2 weeks ago. A detail examination did not show any evidnce of foreign body in the pharynx. But a linear mass was palpable under the skin of the anterior neck. Esophagoscopy was performed and the mucosa of hypopharynx and esophagus was found to be intact without even a small laceration. So neck exploration was performed under the general anesthesia. A 2 cm long fish bone was found and pulled out gently. The postoperative period was uneventful.

並列關鍵字

Foreign body ； extraluminal migration