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Eagle syndrome masquerading as a chicken bone.

Jason E Cohn1, Sammy Othman2, Karima Sajadi-Ernazarova3

  • 1Department of Otolaryngology-Head and Neck Surgery, Philadelphia College of Osteopathic Medicine, 4190 City Line Avenue, Philadelphia, PA, 19131, USA. jasoncoh@pcom.edu.

International Journal of Emergency Medicine
|January 15, 2020
PubMed
Summary
This summary is machine-generated.

A 17-year-old male with throat pain was initially thought to have a chicken bone foreign body. However, further review revealed Eagle syndrome, a condition mimicking other throat issues.

Keywords:
Calcified stylohyoid ligamentChicken boneEagle syndromeElongated stylohyoid ligamentPlain radiograph

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Area of Science:

  • Otolaryngology
  • Radiology
  • Anatomy

Background:

  • Odynophagia and foreign body sensation are common emergency department complaints.
  • Choking incidents can lead to various upper aerodigestive tract pathologies.
  • Differential diagnosis is crucial for accurate patient management.

Purpose of the Study:

  • To report a case of Eagle syndrome presenting as a foreign body sensation.
  • To highlight the importance of thorough radiographic review.
  • To emphasize syndromes that can mimic common presentations.

Main Methods:

  • Case report of a 17-year-old male.
  • Initial presentation with odynophagia and foreign body sensation.
  • Radiographic and physical examination findings.
  • Otolaryngology consultation and nasopharyngeal laryngoscopy.

Main Results:

  • Initial neck radiograph suggested a chicken bone foreign body.
  • Nasopharyngeal laryngoscopy did not reveal an intraluminal foreign body.
  • Physical examination revealed right tonsillar fossa tenderness.
  • Radiographic re-evaluation identified an elongated and calcified right stylohyoid ligament, leading to Eagle syndrome diagnosis.

Conclusions:

  • Eagle syndrome can present atypically, mimicking foreign body ingestion.
  • Thorough review of imaging by clinicians is essential.
  • Recognizing rare syndromes is vital for appropriate diagnosis and treatment.