
A farmer in Nantou got the shock of a lifetime after finding the discomfort he was feeling in his throat was caused by a 4cm leech living there. Turns out he may have unknowingly inhaled the eggs or larvae of a leech over a month ago while spending time by a river. Before seeking medical help, he had taken a look at the mirror and saw a tail-like substance wriggling near his throat. Fortunately the leech was successfully removed, and he could finally take a deep breath.
An endoscopy shows this black-colored foreign object lodged inside a throat, as if it’s growing out of an orifice. What exactly is this thing?
Chuang Pi-kun
Chu Shang Show Chuan Hospital superintendent
From the endoscopic image, you can see that the suction disks at the tail end are attached to the back of the nasal cavity, while the front end is extending in this direction.
This long thing extending all the way from the nasal cavity through the throat is to blame for 56-year-old Mr. Tsai’s discomfort. He says he had recently experienced nasal congestion and itching, and that it felt like there was a foreign object inside his head. After taking a look at the mirror with his mouth open, and seeing a black tail-like something wriggling inside his throat, he rushed to get help.
Chuang Pi-kun
Chu Shang Show Chuan Hospital superintendent
It was a leech around 4cm long. The patient may have unknowingly inhaled the eggs or larvae of a leech into his nasal cavity or respiratory tract while spending time outside of work at the riverside.
The doctor also says that more than a month must have passed when the leech was discovered, as it takes time for it to attach onto the patient and grow. Fortunately, the leech detached itself after anesthesia, and the patient successfully expelled it by sneezing. Mr. Tsai can now finally breathe a sigh of relief.
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#eww #disgusting #medicine #leech #throat
南投有名56歲的蔡姓農夫,因為工作關係,經常到溪邊,沒想到無意間,把水蛭蟲卵吸入鼻腔,經過1、2個月,蔡先生漸漸發覺咽喉部,有異物感,甚至經常鼻塞不舒服,沒想到照鏡子一看,竟然有長條物在他嘴裡不斷蠕動,嚇得趕緊就醫,才發現是一條長達4公分的水蛭!
內視鏡,照到黑色異物,附著在咽喉位置,就像從喉嚨生長出來,即便放大來看,依舊讓人毫無頭緒,到底是什麼東西?
[[竹山秀傳醫院院長 莊碧焜]]
“從內視鏡看,(異物)尾端的吸盤,是夾在鼻腔後端的地方,前端是伸到這裡來”
這奇怪的長條物,從鼻腔後段,一路延伸到咽喉,讓56歲的蔡先生,經常鼻塞、鼻癢,還充滿異物感,沒想到張口照了鏡子,發現竟然有條黑色尾巴在蠕動,就醫後,找到解答!
[[竹山秀傳醫院院長 莊碧焜]]
“這是一個大概有四公分左右的水蛭,患者是在工作之餘,在河邊、溪水邊,無意中把蟲卵或幼蟲, (吸)到他的鼻腔或是呼吸道去了”
醫師推測,從附著再到成長,通常被發現時,早已超過1個月,幸好經過麻藥,已促使水蛭自行脫落,在蔡先生一個噴嚏後,水蛭也成功被排出,解決惱人困擾。
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