Migrating fish bone in neck


  • Siddharth A. Shroff Department of ENT, Dr. Shankar Rao Chavan Government Medical College, Nanded, Maharashtra
  • Mohammad Humaam Ansari Department of ENT, Dr. Shankar Rao Chavan Government Medical College, Nanded, Maharashtra
  • Naman Agarwal Department of ENT, Dr. Shankar Rao Chavan Government Medical College, Nanded, Maharashtra




Fish bone, Extraluminal, Migration


Foreign body ingestion is very common in Asian population among which most common ingested foreign body is fish bone (FB). It usually presents with foreign body sensation, odynophagia or pricking sensation during deglutition. Usually diagnosis is achieved on basis of lateral radiograph of neck, videolaryngoscopy and oesophagoscopy. Sometimes FB migrates extraluminally and causes deep neck abscess, vascular complications including vascular esophageal fistula, puncture of carotid artery, thromboembolism, thyroid gland retention. Here we report a case where fish bone migrated extraluminally into neck piercing the carotid sheath and jarred between external carotid artery and internal carotid artery. Initial laryngoscopy and oesophagoscopy were both negative. Urgent Surgical exploration was planned due to severe pain and discomfort to patient and 4 cm fish bone was retrieved. Fish bone ingestion is the most common ingested foreign body encountered in otorhinolaryngology practice. Fish bones are most commonly impacted at base of tongue, palatine tonsil or vallecula. Sometimes fish bone extraluminally and causes various complications. Extraluminal migration of fish bone is very rare and very few cases have been reported and the only case reported from our region. 


Ngan JH, Fok PJ, Lai EC, Branicki FJ, Wong J. A prospective study on fish bone ingestion. Experience of 358 patients. Ann Surg. 1989;211(4):459-62.

Scher RL, Tegtmeyer CJ, McLean WC. Vascular injury following foreign body perforation of the esophagus: review of the literature and report of a case. Ann Otol Rhinol Laryngol. 1990;99(9 Pt 1): 698-702.

Yang SW, Chen TM, Chen TA. Migrating fish bone complicating a deep neck abscess. Chang Gung Med J. 2005;28:872-5.

Lue AJ, Fang WD, Manolidis S. Use of plain radiography and computed tomography to identify fish bone foreign bodies. Otolaryngol Head Neck Surg. 2000;123:435-8.

Lin YH, Ho HC, Hsiao SH. An ingested fishbone migrating to the thyroid gland: a case report. Tzu Chi Med J. 2006;18:438-41.

Srinivasan UP, Duraisamy AB, Ilango S, Rathinasamy A, Chandramohan SM. Inflammatory pseudotumor of liver secondary to migrated fishbone: a rare cause with an unusual presentation. Ann Gastroenterol. 2013;26:84-6.

Sabari NH, Jayakumar RM, Manju EI, Meera G, Greeshma KM. Fishing for fishbone in neck. Glob J Oto. 2017;4(2):555633.

Chee LW, Sethi DS. Diagnostic and therapeutic approach to migrating foreign bodies. Ann Otol Rhinol Laryngol. 1999;108:177-80.






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