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Migrating fish bone piercing the common carotid artery, thyroid gland and causing deep neck abscess
Hafizah Husna Johari1, Bee-Lian Khaw1, Zulkifli Yusof1
1Hafizah Husna Johari, Bee-Lian Khaw, Zulkifli Yusof, Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Sultanah Bahiyah, 05460 Alor Setar, Kedah, Malaysia.
World Journal of Clinical Cases
|December 1, 2016
Summary
Foreign body ingestion, particularly fish bones, is common in Malaysia. Extraluminal migration can cause serious complications like vascular injury or neck abscesses, requiring prompt management.
Area of Science:
- Otolaryngology
- Gastroenterology
- Radiology
Background:
- Foreign body (FB) ingestion is a frequent occurrence in Malaysia, with fish bones being the most common type.
- Typical symptoms include a sensation of a foreign body, odynophagia, and sharp throat pain during swallowing.
Observation:
- Persistent symptoms despite initial negative laryngoscopy and rigid esophagoscopy necessitate further investigation with radiographic imaging.
- Foreign bodies can migrate extraluminally, potentially affecting adjacent neck structures and the digestive tract.
Findings:
- This report details three cases of extraluminal fish bone migration and their successful management.
- Complications included one case of vascular involvement with the common carotid artery and two cases of neck abscesses (thyroid, retropharyngeal, parapharyngeal).
Implications:
- Highlights the importance of considering extraluminal migration in persistent FB ingestion cases.
- Emphasizes the need for advanced imaging and timely intervention to manage serious complications.
- Provides insights into the successful management of rare but severe FB migration sequelae.