Migrating fish bone piercing the common carotid artery,thyroid gland and causing deep neck abscess  

作　　者：Hafizah Husna Johari Bee-Lian Khaw Zulkifli Yusof Irfan Mohamad 

机构地区：[1]Department of Otorhinolaryngology,Head and Neck Surgery,Hospital Sultanah Bahiyah [2]Department of Otorhinolaryngology Head and Neck,School of Medical Sciences,Universiti Sains Malaysia

出　　处：《World Journal of Clinical Cases》2016年第11期375-379,共5页世界临床病例杂志

摘　　要：Foreign body(FB) ingestion is very common in Malaysian population.The most commonly ingested FB is fish bone.Common presenting symptoms include FB sensation,odynophagia and or sharp pricking pain during swallowing.A careful history and physical examination is very important.Despite negative laryngoscopy and rigid esophagoscopy,persistent symptoms warrants further radiographic imaging studies.The FB can migrate extraluminally and involve other important adjacent structures of the neck and along the digestive tract.We report 3 cases of extraluminal migration of fish bone and their complications,which were successfully managed.One case with vascular complication which involve common carotid artery and the other two cases with neck abscess formation involving thyroid gland,retropharyngeal and parapharyngeal abscess.Foreign body(FB) ingestion is very common in Malaysian population.The most commonly ingested FB is fish bone.Common presenting symptoms include FB sensation,odynophagia and or sharp pricking pain during swallowing.A careful history and physical examination is very important.Despite negative laryngoscopy and rigid esophagoscopy,persistent symptoms warrants further radiographic imaging studies.The FB can migrate extraluminally and involve other important adjacent structures of the neck and along the digestive tract.We report 3 cases of extraluminal migration of fish bone and their complications,which were successfully managed.One case with vascular complication which involve common carotid artery and the other two cases with neck abscess formation involving thyroid gland,retropharyngeal and parapharyngeal abscess.

关 键 词：Foreign body Migrating Complication CAROTID artery THYROID GLAND ABSCESS 

分 类 号：R653[医药卫生—外科学]