魚骨に因る食道周囲膿瘍の食道外切開に因る一治驗例

　魚骨に因る食道の外傷は其殆どの症例が魚骨は自然道を落下し，食道の外傷は自然治癒を営むのが普通で，稀に直接鏡下に刺入した魚骨が拔去されても「魚の骨位に大げさな事をする」と患者に思はれる場合の方が多い．所が魚の骨位と馬鹿にしていて，10日間放置され，食道周囲膿瘍を併発し，而も魚骨は食道粘膜下に埋沒し，直接鏡檢査では認められず，食道外切開に依つて膿瘍内を人差指で触診して辛じて発見拔出し，危く縦隔洞炎を免れて一命を取止め得た症例に遭遇したので茲に報告する次第である．

Fujita says that her case of foreign body of esophagus, a moderate sized solid fish-bone, required an operation by external approach be-cause the offending body had penetrated through the wall of that organ and no longer discerna-ble by esophagoscopy. Ten days after having swollowed a fish (tai) bone the patient, a man 38 years old, was affected with a total inability of deglutition due to severe pain in the neck. Esophagoscopic examination revealed a large abcess in the upper portion of the esophagus posteriorly and well to the left side of the cer-vical spine. The abcess was opened and drained but the particular bone was not found. Ente-ring the neck by external approach with an in-cision placed at the anterior border of left ster-nocleidomastoid muscle the abcess cavity was reached at the level of the cricoid cartilage when, a bone 2 cm. in length was found well embedded in connective tissue network.