Superior thyroid artery injury following foreign body ingestion in an intellectually disabled patient: A case report.

IF 1.3 Q3 ANESTHESIOLOGY
Saudi Journal of Anaesthesia Pub Date : 2024-10-01 Epub Date: 2024-10-02 DOI:10.4103/sja.sja_234_24
D A Dharun Jims, Suryanarayanan Soundrarajan, Mekala RanjithKumar, Muthapillai Senthilnathan
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引用次数: 0

Abstract

This case report highlights complexities in an intellectually disabled adult who ingested a chicken bone, resulting in a rare complication-superior thyroid artery injury. Presentation, diagnostic challenges, and a multidisciplinary approach are detailed. Initial attempts at esophagoscopy under general anesthesia were hindered by blood coughing, leading to a change of plan. Subsequent findings revealed mucosal edema and continuous bleeding from the site. Challenges in anesthetizing intellectually disabled individuals are emphasized, stressing tailored induction methods. The case concluded with successful embolization but developed neurological complication which was successfully managed showcasing the significance of a collaborative and adaptable approach.

智障患者误食异物导致甲状腺上动脉损伤:病例报告。
本病例报告重点介绍了一名智障成人误食鸡骨头导致甲状腺上动脉损伤这一罕见并发症的复杂性。文中详细介绍了患者的表现、诊断难题和多学科方法。最初尝试在全身麻醉下进行食管镜检查,但因咳血而受阻,因此改变了计划。随后的检查结果显示该部位出现粘膜水肿和持续出血。该病例强调了对智障人士进行麻醉所面临的挑战,并强调了量身定制的诱导方法。该病例最终栓塞成功,但出现了神经系统并发症,经过成功处理,展示了合作和适应性方法的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.90
自引率
8.30%
发文量
141
审稿时长
36 weeks
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