下咽食管巨大炎性纤维性息肉1例

One case of giant hypopharyngeal and esophageal inflammtory fibroid polyp

患者,女,46岁,以＂自口中呕出肿物4h＂为主诉急诊入院。入院4h前剧烈呕吐后自口中呕出一淡红色光滑肿物悬挂于口外,致无法闭口、吞咽、进食及说话,无呼吸困难。追问病史,2年来有轻度吞咽困难,未在意。为防止窒息,行预防性气管切开后收入院。体检：全身情况良好,口腔舌体上方可见一淡红色腊肠状肿物,悬挂于口外,无法回纳,肿物可视部分约7cm×3cm×3cm大小,表面光滑,质软,无压痛（图1）。

The clinical manifestations of the disease include dysphagia,foreign body sensation in pharyngeal,retrosternal pain and regurgitation.Physical examination showed a sausage-shaped mass hanging outside the mouth,sometimes.CT scan demonstrated a benign placeholder in upper segment of esophagus.Surgery is the only way to achieve radical cure.Pathological examination：inflammtory fibroid polyp.