在失败的食管镜检索失效的假牙的尝试后,成功的食管切除术
Saba Fatima1, Muhammad Salman Ullah1, Bushra Khalid1
1Mayo hospital, Anarkali, Lahore, Punjab 54000, Pakistan.
Radiology case reports
|December 10, 2024
概括
摄入的假牙是成年人罕见的食道外体. 当内镜去除失败时,可能需要进行手术食道切除,以防止严重的并发症.
科学领域:
- 胃肠病学 胃肠病学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 外科手术病例报告
背景情况:
- 摄入外体在儿童中很常见,但在成年人中也可能发生,其中的危险因素包括精神疾病,酒和不合适的假牙.
- 大多数被摄入的异物通过胃肠道,但冲击,阻塞或穿孔可能需要干预.
研究的目的:
- 报告一个罕见的牙在食道中受损的假牙案例.
- 为了突出挖掘食道外体所面临的挑战.
- 为了强调手术干预的重要性,当最小侵入性技术失败时.
主要方法:
- 一个患有受冲击的食道假牙的病人的案例研究.
- 诊断成像包括X射线和刚性食道镜,以确认假牙的冲击.
- 在失败的内镜检索尝试后,通过食管切除手术进行切除手术,并采用跨宫的方法.
主要成果:
- 在C6-C7脊椎水平上发现了一个带有撞击的假牙.
- 由于严重的冲击,多次食管镜检索尝试都没有成功.
- 通过食管切除术成功取回了假牙.
结论:
- 食道外体冲击,特别是来自假牙,可能很难管理.
- 在严重冲击的情况下,微创内镜技术可能会失败.
- 通过食管切除的早期手术干预是预防诸如穿孔和中炎等并发症的必要条件.
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