The Clinical Analysis of 9 Cases of Missed Diagnosis of Migrating Foreign Body in the Upper Digestive Tract
HU Hui-ying
YU Zhen-kun
CHE Zi-gang
ZHANG Qing-xiang
HE Shuang-ba
Abstract：Objective To investigate the characteristics of the cases of foreign body in the upper digestive tract which often missed diagnosis, and the possible consequences and preventive method. Methods Retrospective analysis of 9 cases undergoing the delayed removal of foreign body in the upper digestive tract was carried out in our hospital. Results The cases of foreign body was fish (7 cases) or chicken bone (2 cases), lasting 12 hours to 21 days. No foreign body was found by fibe-ropticlaryngoscope, gastroscope and esophageal barium meal radiography, except by MSCT. The foreign bodies were found mi-grating into pyriform sinus (4 cases), prevertebral fascia (1 case), thyroid (1 case), neck soft tissue (1 case), esophageal muscular (1 case), pharyngeal mucosa (1 case). 3 cases were complicated with neck space infection. 4 cases of foreign body in pyriform sinus were removed with the oesophagoscope, and 5 cases were taken out by an open approach, under general an-esthesia. All were cured and discharged. Conclusion For migrating foreign bodies that miss diagnosis in regular examina-tions, MSCT is of immense value in avoiding missed diagnosis and misdiagnosis, and detecting possible complications and also can help doctors to choose the best possible approach.
Keywords：Foreign bodyUpper digestive tractMiss diagnosisTomographySpiral computed
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 10-13 )