The Prolonged Presence of a Fish Bone in the Neck
The Prolonged Presence of a Fish Bone in the Neck
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DOI：
10.1620/tjem.227.49
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发表时间：
2012-05-01
影响因子：
2.2
通讯作者：
Hashimoto, Sho
中科院分区：
文献类型：
--
作者：
Watanabe, Kenichi;Amano, Masanori;Hashimoto, Sho
鱼骨是咽部和食道中最常见的异物之一。鱼骨有粘连和穿透粘膜的倾向，这有时会导致严重或致命的并发症。鱼骨在上消化道的腔外迁徙是罕见的事件，异物长期滞留在颈部的可能性更小。我们报告一位69岁女性的独特病例，她仍无症状，而一根鱼骨被卡在她的脖子上达9个月。最后，在她的前颈肿胀后，她接受了颈部探查，发现鱼骨嵌入了从甲状腺内到甲状腺外的疤痕组织中。治疗过程中无并发症发生，异物成功取出。鱼骨长度为34 mm。术中超声能够利用实时成像在原位识别鱼骨；因此，我们推荐这种技术来定位颈部移行的异物。
Fish bones are one of the most frequently observed ingested foreign bodies in the pharynx-esophagus. Fish bones have a tendency to stick and penetrate the mucosa, which can occasionally lead to severe or lethal complications. The extraluminal migration of fish bones in the upper digestive tract is a rare event, and it is even more unlikely that the foreign body will remain in the neck for a prolonged period. We report the unique case of a 69-year-old woman who remained asymptomatic, while a fish bone was lodged in her neck for 9 months. Finally, after her anterior neck had become swollen, she underwent neck exploration, which revealed that the fish bone was embedded in the scar tissue running from within the thyroid gland to outside of the thyroid. Treatment proceeded without complications, and the foreign body was removed successfully. The length of the fish bone was 34 mm. Intraoperative ultrasonography was able to identify the fish bone in situ using real-time imaging; therefore, we recommend this technique for locating migrated foreign bodies in the neck.