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題名 | Value of Computed Tomography for Examining Deep Penetrated Fish Bone with Atypical Symptoms: A Case Report=案例報告:電腦斷層攝影對於深入魚刺哽塞伴隨罕見症狀的臨床診斷價值 |
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作者 | 吳奕葦; 劉致顯; 王拔群; 王永成; 黃志達; Wu, I-wei; Liu, Chih-hsien; Wang, Pa-chun; Wang, Yung-cheng; Huang, Chih-ta; Wang, Victoria Y.; Wang, Victoria Y.; |
期刊 | 輔仁醫學期刊 |
出版日期 | 20170300 |
卷期 | 15:1 2017.03[民106.03] |
頁次 | 頁25-29 |
分類號 | 416.898 |
語文 | eng |
關鍵詞 | 魚刺哽塞; 肩膀痛; 脊椎椎體; 橫突孔; 電腦斷層攝影; Fish bone impaction; Shoulder pain; Vertebral body; Transverse foramen; Computed tomography; |
中文摘要 | 一位58歲女性在吞食魚刺後出現吞嚥疼痛及左側肩膀疼痛表現持續一天。頸部電腦斷層攝影顯示在C2-C3脊椎椎體前方有一針狀骨質顯影,橫向深入接近左側C3頸椎橫突孔及椎動脈。臨床上罕見位置的咽喉食道異物往往無法靠理學檢查或X-ray確診。本案例報告將特此提出利用電腦斷層攝影,探討咽喉食道異物伴隨非典型症狀於臨床上的診斷價值。 |
英文摘要 | A 58-year-old woman suffered from odynophagia with left shoulder pain 1 day after swallowing a piece of fish bone. Neck computed tomography (CT) revealed a linear calcific obstacle anterior to the C2 and C3 vertebral bodies, buried near the left transverse foramen and vertebral artery. Foreign body impaction in uncommon sites cannot be detected by a routine physical examination or plain radiography. In this case report, we discuss the value of using CT to diagnose foreign body impactions with atypical clinical presentation. |
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