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Related Experiment Video

Updated: Oct 26, 2025

Necropsy-based Wild Fish Health Assessment

Necropsy-based Wild Fish Health Assessment

Published on: September 11, 2018

Migrating fish bone presenting as a neck fistula.

Sara Fernandes Custódio¹, Pedro Branco², Pedro Machado Sousa²

¹Department of Otorhinolaryngology, Centro Hospitalar de Lisboa Ocidental EPE Hospital de Egas Moniz, Lisboa, Portugal saracustodio1@gmail.com.

BMJ Case Reports

|July 28, 2021

Summary

This summary is machine-generated.

A fish bone migrated from the aerodigestive tract, forming a neck fistula two years post-ingestion. This rare case underscores the importance of thorough assessment for suspected foreign body ingestion, even with normal initial examinations.

Keywords:

ear gastroenterology head and neck surgery nose and throat/otolaryngology otolaryngology/ENT primary care

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Area of Science:

Otolaryngology
Surgical Case Reports

Background:

Foreign body ingestion, particularly sharp objects like fish bones, can lead to delayed complications.
Migration of ingested foreign bodies from the aerodigestive tract is uncommon but can cause severe morbidity.

Observation:

A patient presented with a neck fistula two years after ingesting a fish bone.
Initial physical examination of the upper aerodigestive tract was normal, despite a history of foreign body ingestion.

Findings:

The case report details the migration of a fish bone from the aerodigestive tract.
Surgical intervention was performed to address the resulting neck fistula.

Implications:

High clinical suspicion for foreign body ingestion warrants further investigation, even with unremarkable physical findings.
Delayed diagnosis of migrated foreign bodies can lead to serious, potentially life-threatening complications.