Korean J Gastrointest Endosc > Volume 42(4); 2011 > Article
Korean Journal of Gastrointestinal Endoscopy 2011;42(4): 228-231.
손가락 촉진으로 발견할 수 있었던 인두에 매몰된 생선가시
김흥업ㆍ송현주ㆍ최은광ㆍ조유경ㆍ송병철
제주대학교 의학전문대학원 내과학교실
A Case of a Pharyngeal Impacted Fish Bone Foreign Body Detected by Finger Palpation
Heung Up Kim, M.D., Hyung Joo Song, M.D., Eun Kwang Choi, M.D., Yoo-Kyung Cho, M.D. and Byung-Cheol Song, M.D.
Department of Internal Medicine, School of Medicine, Jeju National University, Jeju, Korea
Abstract
Emergent endoscopy is needed in cases of a fish bone foreign body in the upper gastrointestinal tract. A fish bone foreign body is common in the oral cavity and pharynx and has a high rate of complications because of the characteristic shape. A diagnosis is very difficult when the foreign body penetrates and impacts the surrounding tissue. Computed tomography is useful for the diagnosis; however, direct removal would be impossible if the foreign body was not localized during endoscopy. If the foreign body is anchored to the oral cavity and pharynx, finger palpation is useful to find the impacted fish bone. We report here on a case of an endoscopically missed pharyngeal impacted fish bone foreign body that was finally detected by finger palpation and successfully removed by rescue endoscopy. (Korean J Gastrointest Endosc 2011;42:228-231)
Key Words: Pharynx, Foreign body, Fish bone, Finger palpation, Endoscopy
주요어: 인두, 이물, 생선가시, 손가락 촉진, 내시경
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