咽异物迁移致颈部包块1例

The migrating pharyngeal foreign body resulted in cervical mass:one case report

患者,女,52岁,因发现左侧颈部包块20d于2014年5月2日入院。查体：左侧颈部胸锁乳突肌中段可触及包块,大小约1.2cm×0.5cm,质韧,边界尚清,轻度压痛。口咽及喉咽未见异常。行颈部超声检查示：左侧颈部淋巴结肿大;后行颈部增强CT检查示：左侧颈部异物并异物肉芽肿（图1）。追问病史,患者1个月前有误咽鱼刺史,当时有咽痛及异物感,自行吞咽固体食物欲将异物咽下,

Pharyngeal foreign body is a common disease.The diagnosis and treatment are easy.However,in a few cases,pharyngeal foreign bodies migrated to other part of body,which often causing missed diagnosis or misdiagnose to delaythe treatment,and even lead to fatal complications.Here we present a case report of a 52-year-old female patient who was found to have cervical mass 20 days before.Contrast-enhanced computed tomography showd a foreign body and foreign body granuloma on the left side of the neck.To look backon the history,the patient swallowed a fish bone in mistake one month ago.