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Fishing Out a Bone From the Neck.

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  • 1Otolaryngology - Head and Neck Surgery, Graduate School of Medicine, KPJ University, Nilai, MYS.

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|May 13, 2024
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Summary

Foreign body ingestion, particularly fish bones, is common in Asia. A rare case required neck exploration for a fish bone penetrating the thyroid lobe.

Keywords:
ct neckesophageal perforationfish bonefood bolusstingray

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Area of Science:

  • Otolaryngology
  • Gastroenterology
  • Emergency Medicine

Background:

  • Fish bone ingestion is a prevalent issue in Asian populations, often linked to culinary practices.
  • Typical symptoms include foreign body sensation, odynophagia, and throat discomfort during swallowing.
  • While often managed outpatient, severe cases may necessitate esophagoscopy or surgical intervention.

Observation:

  • A 71-year-old male presented with symptoms related to foreign body ingestion.
  • A 2.1 cm fish bone was identified.
  • The bone was located laterally to the thyroid cartilage, penetrating the left thyroid lobe.

Findings:

  • Surgical neck exploration was performed to remove the ingested fish bone.
  • The fish bone's trajectory posed a significant anatomical challenge.

Implications:

  • This case highlights the potential severity of fish bone ingestion and the need for prompt diagnosis and treatment.
  • Advanced surgical techniques may be required for complex foreign body removals.
  • Awareness of specific cultural dietary practices is crucial for understanding foreign body ingestion patterns.