A foreign body (a fish bone) in the esophagus translocating into soft tissues of the neck – a case report

2019 ◽  
Vol 8 (1) ◽  
pp. 56-59
Author(s):  
Magda Licznerska-Kreczko ◽  
Jerzy Kuczkowski ◽  
Tomasz Nowicki ◽  
Maciej Świerblewski ◽  
Andrzej Skorek
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Antibiotic Prophylaxis ◽  
Digestive Tract ◽  
Foreign Bodies ◽  
Soft Tissues ◽  
Atlantic Cod ◽  
Fish Bone ◽  
Endoscopic Removal ◽  
Key Words Foreign Body

Background: Patients with foreign bodies in upper digestive tract not infrequently trigger many diagnostic and treatment challenges, especially when foreign bodies translocate and are lodged outside the esophagus. Case report: We present a case of a foreign body in esophagus 56-years old woman who had developed persistent sensation of an obstacle in her throat after eating fish (Atlantic cod). She has initially dismissed her symptoms and refused medical treatment. Subsequently, a neck CT done one week later showed a 20-milimeter long fish bone in the soft tissues on the left side of her neck (between pharynx and vertebral column). Few attempts of endoscopic removal were unsuccessful. Despite antibiotic prophylaxis and due to the fish bone translocation into soft tissues of the neck and its location close to a common carotid artery and an internal jugular vein a decision was made to remove it from the external approach. The foreign body was successfully removed without any esophageal damages. Conclusions: Foreign bodies in digestive tract may result in many life-threatening complications. The fundamental management is based on the endoscopic removal of a foreign body and the antibiotic prophylaxis. In case of foreign bodies lodged in soft tissues open surgery is recommended. Key words: foreign body in the esophagus; fish bone; paraesophageal abscess ; treatment

scholarly journals A Rare Case of a Foreign Body Migration from the Upper Digestive Tract to the Subcutaneous Neck

2002 ◽  
Vol 81 (10) ◽  
pp. 730-732 ◽  
Author(s):  
Kenny Peter Pang ◽  
Yoke Teen Pang
Keyword(s):  
Foreign Body ◽  
Digestive Tract ◽  
Rare Case ◽  
Foreign Bodies ◽  
Soft Tissues ◽  
Fish Bone ◽  
Fish Bones ◽  
Upper Digestive Tract ◽  
Foreign Body Migration ◽  
Base Of The Tongue

Ingested foreign bodies are not unusual in Singapore. The most common of these objects are fish bones, which typically become lodged in the tonsils or in the base of the tongue. We report a rare case of an ingested fish bone that migrated from the upper digestive tract and into the soft tissues of the neck just below the skin.

scholarly journals Characteristics of fish-bone foreign bodies in the upper aero-digestive tract: The importance of identifying the species of fish

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255947
Author(s):  
Tadahisa Shishido ◽  
Jun Suzuki ◽  
Ryoukichi Ikeda ◽  
Yuta Kobayashi ◽  
Yukio Katori
Keyword(s):  
Foreign Body ◽  
Digestive Tract ◽  
Fish Species ◽  
Foreign Bodies ◽  
Age Distribution ◽  
Fish Bone ◽  
University Hospital ◽  
Surgical Removal ◽  
Endoscopic Removal ◽  
Fish Bones

Background Fish bones are common foreign bodies in the upper aero-digestive tract, but their clinical features in relation to fish species have not been confirmed. We aimed to clarify the clinical characteristics of fish-bone foreign bodies and their location and removal methods depending on the fish species. Study design Retrospective, observational, monocentric study. Methods From October 2015 to May 2020, 368 patients visited the Department of Otolaryngology-Head and Neck Surgery at Tohoku University Hospital complaining of dysphagia, sore throat, or pharyngeal discomfort after eating fish. We analyzed the patients’ sex and age distribution, foreign-body location, type of the fish, and the techniques used for removing the foreign body. Results Fish bones were confirmed in the upper aero-digestive tract in 270 cases (73.4%), of which 236 (87.4%) involved fish-bone foreign bodies in the mesopharynx. The most frequently involved site was the palatine tonsil (n = 170). Eel was the most frequently observed fish species (n = 39), followed by mackerel (n = 33), salmon (n = 33), horse mackerel (n = 30), and flounder (n = 30). Among the 240 cases in which the bones did not spontaneously dislocate, 109 (45.4%) were treated by endoscopic removal (103 cases) or surgery (6 cases). In pediatric cases (<12 years old), almost all fish bones were found in the mesopharynx (138/139, 99.3%), and 31 cases (22.3%) required endoscopic removal. Flounder fish bones were often lodged in the hypopharynx and esophagus (9/30, 30%), hindering spontaneous dislocation and frequently necessitating endoscopic or surgical removal (19/29, 65.5%). Conclusion The characteristics of fish-bone foreign bodies differed depending on the fish species. Flounder bones were often stuck in the hypopharynx and esophagus and were likely to require more invasive removal methods. Confirming the species of the fish could facilitate appropriate diagnosis and treatment of fish-bone foreign bodies.

scholarly journals Migration of an Ingested Fish Bone to the Submandibular Gland: A Case Report and Literature Review

2019 ◽  
Vol 4 (2) ◽  
pp. 1-4
Author(s):  
Jinhua Ma ◽  
Yahui Sun ◽  
Baoqiang Dai ◽  
Hongqin Wang 
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Thyroid Gland ◽  
Literature Review ◽  
Submandibular Gland ◽  
Foreign Bodies ◽  
Soft Tissues ◽  
Fish Bone ◽  
Fish Bones ◽  
Routine Inspection

Background: Fish bone is one of the most common foreign bodies that gets lodged in the upper digestive tract, often located in the tonsil, epiglottis, pear-shaped fossa, and esophagus, where it may be easily located on routine inspection and removed. The forcible swallowing of food such as rice balls after ingesting fish bones by mistake may lead to the migration of the fish bone from the pharynx, throat, or esophagus to the surrounding tissues. Migration most commonly occurs to the soft tissues of the neck, even to the thyroid gland, but migration to the submandibular gland has rarely been reported. Conclusions: Foreign body ingestion may cause a series of complications and endanger a patient’s life. Cases require high awareness and attentiveness on the part of the first physician to diagnose and manage the condition, and appropriate health education should be imparted to the patient.

scholarly journals Unusual foreign body in the upper digestive tract: case report

2018 ◽  
Vol 4 (3) ◽  
pp. 850
Author(s):  
Snigdha Elaprolu ◽  
Gowri Sankar Marimuthu ◽  
Raghul Sekar ◽  
Sunil Kumar Saxena
Keyword(s):  
Case Report ◽  
Gastrointestinal Tract ◽  
Foreign Body ◽  
Digestive Tract ◽  
Foreign Bodies ◽  
Psychiatric Patients ◽  
Unusual Foreign Body ◽  
Upper Digestive Tract ◽  
Entire Gastrointestinal Tract

<p class="abstract">Unusual foreign bodies in the digestive tract are common in psychiatric patients and children requiring screening of the entire gastrointestinal tract. We here report two cases of unusual ingested blunt foreign body in the upper digestive tract managed differently.</p>

Neuralgia-like symptoms in a patient with an airgun pellet in the ethmoid sinus: a case report

1995 ◽  
Vol 109 (7) ◽  
pp. 646-649 ◽  
Author(s):  
Paul J. Donald ◽  
Arun K. Gadre
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Surgical Management ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Ethmoid Sinus ◽  
Endoscopic Removal ◽  
Review Of The Literature ◽  
Anatomical Basis

AbstractAn unusual case of a retained airgun pellet in the ethmoid sinus is presented. The patient's only complaint was a severe neuralgic headache. Anatomical basis for this symptom, imaging and successful endoscopic removal of the foreign body are discussed. The philosophy for removal of innocuous foreign bodies, potential pitfalls in surgical management, and a review of the literature are included in the discussion.

scholarly journals Migrated pharyngeal fish bone causing spondylodiscitis. Case report

2014 ◽  
Vol 13 (1) ◽  
pp. 67-68 ◽  
Author(s):  
Aluizio Augusto Arantes Júnior ◽  
Jose Augusto Malheiros ◽  
Marco Tulio Domingos Silva e Reis ◽  
Gustavo Meyer de Moraes
Keyword(s):  
Case Report ◽  
Cervical Spine ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Fish Bone ◽  
Emergency Rooms ◽  
Infectious Process ◽  
Fish Bones ◽  
First Case ◽  
Longus Colli

Ingestion of foreign bodies is a common problem seen at emergency rooms and frequently involves chicken and fish bones. There are few cases of migrated foreign bodies through the retropharynx causing infectious process in the area but no one, despite the proximity, causing spondylodiscitis. Perhaps such condition is attributed to the integrity of the longus colli fascia covering and protecting the cervical spine. We described the first case of spondylodiscitis due to a foreign body (saw-toothed fish bone) that penetrated the longus colli fascia and carved into vertebral body C3.

scholarly journals Removal of firearm projectile from the maxillary sinus: a case report

2020 ◽  
Vol 68 ◽  
Author(s):  
Cristóvão Marcondes de Castro RODRIGUES ◽  
Izabella SOL ◽  
Daniela MENESES-SANTOS ◽  
Larissa Gonçalves Cunha RIOS ◽  
Jonas Dantas BATISTA ◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Maxillary Sinus ◽  
Local Anesthesia ◽  
Paranasal Sinuses ◽  
Foreign Bodies ◽  
Soft Tissues ◽  
Hard Tissues ◽  
The Face ◽  
Maxillary Sinuses

ABSTRACT Foreign bodies in the paranasal sinuses after critical accidents are rare occurrences that have sporadically been reported worldwide. Firearm projectiles, daggers, knives, glass fragments, stones, teeth, and wood can get lodged in the soft and hard tissues of the face. The management and prognosis in these cases depend on the composition and location of the foreign body as well as on the presence or absence of infection. Although there are reports involving the soft tissues of the face, the ethmoid, sphenoid, frontal, and maxillary sinuses are the most frequently involved sites. The main manifestation of this condition is sinusitis arising from infection and/or inflammation caused by the foreign body, which is a contaminated object. We report a case of removal of a firearm projectile located in the maxillary sinus of a 34-year-old patient under local anesthesia.

Foreign body in the tongue: an unusual site for a common problem

1991 ◽  
Vol 105 (10) ◽  
pp. 849-850 ◽  
Author(s):  
Kalpesh S. Patel
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Fish Bone ◽  
Aerodigestive Tract ◽  
Upper Aerodigestive Tract ◽  
Unusual Site ◽  
Rare Site ◽  
Frequent Problem

AbstractForeign bodies in the upper aerodigestive tract represent one of the commonest ENT emergencies. A case report of a fish bone penetrating the anterior tongue is presented which exemplifies this frequent problem. but at a rare site.

scholarly journals Case report of uncommon esophageal foreign body: goat’s eye

2020 ◽  
Vol 6 (4) ◽  
pp. 787
Author(s):  
Suresh Mani ◽  
Gayathri Swaminathan
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Health Education ◽  
Digestive Tract ◽  
Foreign Bodies ◽  
Acute Onset ◽  
Esophageal Foreign Body ◽  
Flexible Esophagoscopy

<p>Foreign bodies of upper aero digestive tract are commonly dealt by an otolaryngologist. We have seen a variety of foreign bodies of esophagus, varying from irritants to non irritants, sharp to big blunt objects which almost always require intervention. An elderly man presented to us with acute onset of dysphagia after ingesting meat. On flexible esophagoscopy, it was found to be an uncommon foreign body of the esophagus which is goat’s eye. We believe this is the first of its kind to be reported in the literature. He had consumed the whole eyeball with the belief that it would improve his vision. Even in today’s era such weird customs and practices prevail in many remote places. Health education should be advocated in target areas to bring about a change in the mindset of people. </p>

scholarly journals Obstructive Sialadenitis of Submandibular Gland Due to a Nail-like Fish Bone Foreign Body: A Rare Case Report

2019 ◽  
pp. 1-7
Author(s):  
Rosa Mostafavi Tabatabaee ◽  
Majid Sanatkhani
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Submandibular Gland ◽  
Foreign Bodies ◽  
Fish Bone ◽  
Pathological Examination ◽  
Radiographic Examination ◽  
Spontaneous Pain ◽  
Submandibular Region ◽  
Obstructive Sialadenitis

Introduction: Foreign body-associated sialadenitis of submandibular gland is not often and scarce within the literature. In this study, a report of a piece of Nail-like fish bone foreign body entering the Wharton’s duct causing an acute sialadenitis is presented. Foreign bodies must be explored and all suspected areas must be examined carefully for avoiding secondary problems and surgeries in the future. Foreign bodies in the oral and maxillofacial region are often experienced after trauma and dental treatment. Case Report : We describe a case of obstructive sialadenitis in the submandibular gland caused by penetration of a fish bone in a 68-year-old man. He had swelling and spontaneous pain in the left submandibular region. The radiographic examination didn't show foreign body in the submandibular gland. Initially, we diagnosed obstructive sialadenitis in the left submandibular gland and the study suspect that salivary stone might be the cause of this swelling so compressing and milking of Wharton duct. The foreign body measured 1.3 cm *3 mm*2 mm and was a nail-like object. On pathological examination, the foreign body was found to be a fish bone (cartilage-like organic material). Conclusion: This case demonstrated that precise and proper inspection and examination, milking and then paying attention to the secretion of salivary gland lead to proper diagnosis and after that suitable treatment, so this could reduce costly assessment and treatment, also lessen bewilderment of the patient.

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