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Migratory foreign body in the neck.

S S Sreetharan1, Narayanan Prepageran, Satwant Singh

  • 1Department of Otolaryngology, National University of Malaysia, Kuala Lumpur, Malaysia. tharan71@yahoo.com

Asian Journal of Surgery
|April 27, 2005
PubMed
Summary

A rare case of a migrating fish bone in an elderly female is presented. The fish bone was successfully removed from the sternocleidomastoid muscle after penetrating the esophagus.

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Area of Science:

  • Otolaryngology
  • Gastroenterology
  • Surgical Pathology

Background:

  • Esophageal foreign bodies, particularly fish bones, can lead to rare complications like migration.
  • Penetration and migration of esophageal foreign bodies are uncommon but serious events.

Observation:

  • An elderly female presented with symptoms suggestive of a foreign body.
  • Imaging or clinical examination revealed a fish bone lodged within the right sternocleidomastoid muscle.

Findings:

  • A fish bone migrated from the esophagus and embedded in the sternocleidomastoid muscle.
  • Surgical neck exploration successfully identified and removed the migrating fish bone.

Implications:

  • This case highlights the potential for esophageal foreign bodies to migrate into unusual neck structures.
  • Prompt diagnosis and surgical intervention are crucial for managing migrating esophageal foreign bodies.
  • Reviewing such rare cases aids in understanding the diagnostic and management pathways for esophageal trauma.

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