陳旧性の食道腔外異物例 A Long-standing Foreign Body Embedded in the Esophageal Muscle Layer

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頸部食道の陳旧性腔外魚骨異物例を報告した。症例は32歳の女性で5カ月前にカレイを摂食したことによる異物であった。他院にての食道鏡検査上,異物は発見されず,1カ月後のCT検査結果から異物の残存が指摘された。症状が軽微であったため放置していたが,誤飲から5カ月後,摘出を希望して来院。頸部外切開にて頸部食道筋層内に埋没する異物を粘膜損傷なく摘出し得た。頸部食道の陳旧性腔外異物例は渉猟し得た限り,国内2例目であった。

We report a 32-year-old woman with a foreign body perforating the cervical esophageal mucosa completely.<br>Five months prior to coming to our hospital, she felt left neck pain on swallowing after a fish meal. Although she underwent esophagoscopy at another hospital the next day, no abnormal findings were obtained. Since she complained of persistent discomfort on swallowing, radiographic examinations were also undergone at the same hospital. They revealed a foreign body located between the left lobe of the thyroid gland and the esophagus, but she refused to undergo an operation because of her mild symptom.<br>Five months after the foreign body ingestion, she came to our institution and wanting to remove the fish bone. We approached using a collar neck skin incision, and extracted a fish bone embedded in the esophageal muscle layer without damage to mucosa.<br>Extraluminal esophageal foreign bodies are very rare, but sometimes their complications are fatal. Therefore, great care is required with foreign bodies, even if the ingestion occurred a long time prior to examination, or if esophagoscopy reveals no remarkable abnormality.

収録刊行物

  • 日本気管食道科学会会報

    日本気管食道科学会会報 53(1), 45-48, 2002-02-10

    特定非営利活動法人 日本気管食道科学会

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各種コード

  • NII論文ID(NAID)
    10008385300
  • NII書誌ID(NCID)
    AN00187474
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00290645
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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