Fish bone ingestion: a case report of a unique route of extraction

Foreign body ingestion is a common problem in otolaryngology. In this case report, we present a patient with fish bone ingestion with a unique route of extraction. A 50-year-old woman was presented with a complaint of odynophagia while eating fish. Rigid laryngoscopy revealed nothing except ecchymosis on the right pyriform sinus. We performed an axial neck computed tomography (CT) scan and found the fish bone at the retropharyngeal space. After three days there was a tender bulging in the neck. We extracted the fish bone thorough a small incision on the neck. We recommend the performance of CT scan in patients with suspected hypopharyngeal and esophageal sharp foreign body impaction.