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Ingested Australasian Snapper (Chrysophrys auratus) Bone Migration to C5 Vertebral Body
Fadzrul Abbas Mohamed Ramlee1, Nurulizzah Ibrahim2, Muhammad H Hashim2
1Orthopaedic Surgery, Hospital Pengajar University Putra Malaysia, Serdang, MYS.
A fishbone caused a rare laryngeal perforation and migrated to the C5 vertebra. Surgical teams successfully removed the foreign body via an anterior cervical approach, highlighting the need for early diagnosis of such emergencies.
Area of Science:
- Otolaryngology
- Spine Surgery
- Medical Imaging
Background:
- Fishbone ingestion is a known cause of esophageal perforation, a critical surgical emergency.
- Prompt diagnosis and intervention are crucial for managing esophageal and related perforations.
Observation:
- A 70-year-old patient presented with laryngeal perforation due to a fishbone.
- A 15 mm Chrysophrys auratus (Australasian snapper) fishbone migrated from the larynx to the C5 vertebral body, lodging in the longus coli muscle.
Findings:
- Multiple imaging modalities, including CT scans, identified the fishbone's precise location.
- The fishbone was successfully removed through a left anterior cervical approach by combined ENT and orthopedic spine teams.
Implications:
- This case underscores the potential for fishbone migration beyond the esophagus into deep neck structures.
- Highlights the importance of multidisciplinary collaboration in diagnosing and treating complex foreign body retentions.
- Emphasizes the diagnostic utility of advanced imaging in identifying deep-seated foreign bodies.
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