DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20192739

Migrating fish bone in neck

Siddharth A. Shroff, Mohammad Humaam Ansari, Naman Agarwal

Abstract


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. 


Keywords


Fish bone, Extraluminal, Migration

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References


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