Carotid sheath-like foreign body in the neck

In otolaryngology practice, we see young children who have inserted a foreign body (FB), which is usually found at home, into their ears or nose. Uncommon complications of an ingested FB are penetration and migration into the neck. Interestingly, among such FBs, sharp fish bones are the most commonly observed in Turkey. In our patient, the FB caused deep neck infection because of FB reaction. In our patient, we could not find any clue of a FB during examination. We were able to see the FB by magnetic resonance imaging (MRI). Interestingly, the FB looked like a carotid sheath on the MR image.