4.1 Article

Migrating fish bone presenting as a neck fistula

Journal

BMJ CASE REPORTS
Volume 14, Issue 7, Pages -

Publisher

BMJ PUBLISHING GROUP
DOI: 10.1136/bcr-2021-243622

Keywords

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

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The case report emphasizes the importance of further assessment in cases of suspected foreign body ingestion in the aerodigestive tract, even with a normal physical examination. This is crucial to prevent serious and potentially life-threatening complications later on.
The case report describes an extremely rare finding of fish bone migration from the aerodigestive tract causing a neck fistula 2 years after its ingestion. Detailed case study and surgical treatment is presented. This case highlights the need for further assessment in presence of a high clinical suspicion of foreign body ingestion with a normal physical examination of the upper aerodigestive tract, to avoid serious and potential life-threatening complications later on.

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