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Related Experiment Video

Updated: Feb 28, 2026

Necropsy-based Wild Fish Health Assessment

Necropsy-based Wild Fish Health Assessment

Published on: September 11, 2018

It's a cod! Finding Nemo (impacted fishbone) in the emergency department.

Aileen McCabe¹, Andrew Patton¹, Nigel Salter¹

¹Emergency Department, St Vincent's University Hospital, Dublin, Ireland.

BMJ Case Reports

|June 18, 2017

Summary

A fish bone lodged in the throat caused discomfort for a young woman. It was successfully removed using flexible endoscopy, leading to an uneventful recovery.

Keywords:

ear emergency medicine nose and throat/otolaryngology

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Area of Science:

Otolaryngology
Medical Imaging
Gastroenterology

Background:

Foreign body ingestion is a common occurrence, particularly in emergency departments.
Fish bone impaction in the pharynx or esophagus can cause significant discomfort and potential complications.

Observation:

A 23-year-old woman presented with a sensation of a fish bone in her throat after eating cod.
Initial physical examination revealed no airway compromise, but a lateral neck X-ray showed a linear opacity suggestive of a fish bone.
Direct laryngoscopy in the emergency department was unsuccessful in visualizing the foreign body.

Findings:

A fish bone was lodged in the neck, visualized on X-ray.
Surgical removal via flexible endoscopy was required due to the initial failed visualization.
The patient experienced a complete and uncomplicated recovery post-procedure.

Implications:

This case highlights the importance of imaging in diagnosing suspected fish bone impaction, even with a normal initial physical exam.
Flexible endoscopy is an effective tool for the diagnosis and removal of esophageal foreign bodies.
Prompt and accurate diagnosis and treatment are crucial for preventing complications associated with retained foreign bodies.