Migratory Fish Bone Presented With Extensive Surgical Subcutaneous Emphysema: A Case Report.
Athierah Muhammad1, Geng Ju Tuang2, Farah Dayana Zahedi3
1Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Selayang, Batu Caves, Selangor, Malaysia.
The Journal of Emergency Medicine
|April 17, 2021
Summary
Ingested fishbones can cause serious complications. This case highlights surgical subcutaneous emphysema as a rare complication following attempts to dislodge a fishbone, emphasizing thorough patient evaluation.
Area of Science:
- Otolaryngology
- Emergency Medicine
- Gastroenterology
Background:
- Fishbone ingestion is a frequent reason for emergency department visits.
- While most fishbones are easily removed, impacted ones pose life-threatening risks.
- Migrated fishbones can lead to severe complications like deep neck abscesses or vascular injury.
Observation:
- This report details an unusual case of surgical subcutaneous emphysema.
- The complication arose after repeated attempts to dislodge an ingested fishbone.
Findings:
- Subcutaneous emphysema is a rare but serious complication of fishbone ingestion.
- The mechanism involves barotrauma or direct injury during removal attempts.
Implications:
- Emergency physicians must be vigilant for fishbone foreign bodies.
- Comprehensive history and examination are crucial for identifying potential migratory complications.
- Prompt and appropriate management can prevent severe outcomes from ingested fishbones.
