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Migratory fish bone in the thyroid gland

T H Foo1

  • 1Department of Otolaryngology, Singapore General Hospital.

Singapore Medical Journal
|April 1, 1993
PubMed
Summary
This summary is machine-generated.

Ingested fish bones are a common cause of emergency visits. This report details two rare cases where a fish bone caused acute, unilateral thyroid swelling.

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Area of Science:

  • Otolaryngology
  • Emergency Medicine
  • Radiology

Background:

  • Ingested fish bones are a frequent cause of emergency presentations in otolaryngology departments.
  • Diagnosis typically relies on clinical examination and radiological imaging.

Observation:

  • Two unusual cases of ingested fish bone are presented.
  • These cases manifested as acute, unilateral thyroidal swelling.

Findings:

  • Fish bone ingestion can lead to unexpected complications beyond the typical upper aerodigestive tract.
  • Thyroidal swelling is an uncommon but possible sequela of foreign body ingestion.

Implications:

  • Clinicians should consider fish bone ingestion in the differential diagnosis of acute neck masses, even with atypical presentations.

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  • Radiological assessment is crucial for identifying foreign bodies and guiding management in suspected cases of fish bone ingestion.