論文

査読有り 国際誌
2019年2月26日

Pharyngocutaneous fistula caused by dried 'Kombu' (edible seaweed) after total laryngectomy.

BMJ case reports
  • Yuki Kusaba
  • ,
  • Toru Miwa
  • ,
  • Momoko Ise
  • ,
  • Ryosei Minoda

12
2
記述言語
英語
掲載種別
DOI
10.1136/bcr-2018-228091

The most common early complication after total laryngectomy is pharyngocutaneous fistula (PCF). However, there are no reports of PCF after total laryngectomy caused by 'Kombu' (edible seaweed) as a foreign body in the digestive tract. A 68-year-old Japanese man had undergone total laryngectomy 5 years previously. He presented with PCF, neck swelling and pain. Video endoscopy showed that a dark green foreign body obstructed the digestive tract. PCF was successfully treated via emergency surgery comprising abscess drainage, foreign body removal and fistula closure. The foreign body was kombu. Clinicians who perform total laryngectomy should know the potential dangers of consuming hygroscopic food items that can cause bolus obstruction of the upper digestive tract and pharyngeal abscess and perforation.

リンク情報
DOI
https://doi.org/10.1136/bcr-2018-228091
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/30814102

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