管腔構造を有するイカ中骨による咽後膿瘍例

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タイトル別名
  • A Case of Retropharyngeal Abscess Caused by a Fish Bone with a Tubal Structure
  • 臨床 管腔構造を有するイカ中骨による咽後膿瘍例
  • リンショウ カンコウコウゾウ オ ユウスル イカ チュウコツ ニ ヨル インゴ ノウヨウレイ

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The presence of a fish bone in the aerodigestive tract is a common phenomenon in the ENT Department. It is removed easily by an endoscopic procedure, but sometimes can cause complications such as deep neck infection.<br> Herein, we report the case of a fish bone with a tubal structure stuck in the pyriform sinus. A 71-year-old woman presented with complaints of progressive odynophagia and dysphagia following dinner 1 day earlier. An axial computed tomographic scan of the neck showed a 3-cm-long and linear hyperdense projection pointing to the pyriform sinus and submucosal emphysema. Rigid laryngoscopy with the patient under general anesthesia, which was performed on the day of presentation, showed a fish bone with a tubal structure in the pyriform sinus but no pus-like material. It was removed, but a retropharyngeal abscess was soon formed. The patient recovered fully soon after subsequent surgical drainage through the cervical incision.<br>

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