AI Article Synopsis
- Uningested fish bones are commonly swallowed, but it's rare for them to protrude from the neck.
- A case is reported where a 3-cm fish bone was not diagnosed initially in the emergency room, leading to it protruding through the patient's neck skin 21 days later.
- The bone was safely removed after a CT scan confirmed no damage to soft tissue or arteries, highlighting the need for careful follow-up in patients with persistent sore throats after suspected fish bone ingestion.
Article Abstract
Uningested fish bone swallowing is common, but protrusion of the unswallowed fish bone from the neck is very rare. We report a 3-cm fish bone, which was not diagnosed during the patient first visit at emergency room, resulting in a protrusion out of the patient's neck skin 21 days later after ingurgitation of the bone. The migrated fish bone was safety pulled out directly after obtaining computed tomography of the neck to make sure no soft tissue or major artery involved. Migration of ingested fish bone is an uncommon complication, which has the potential risk to cause morbidity and mortality. Therefore, if findings of physical examination, x-rays, or laryngoscope are negative, it is important to recheck the patient if sore throat persists. Obtaining a neck computed tomography or performing gastroendoscopy to rule out the possible mis-swallowing of fish bone should be warranted. To the authors' knowledge, such a case has not been previously reported in medical literature.
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| http://dx.doi.org/10.1016/j.amjoto.2008.03.004 | DOI Listing |
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