AI Article Synopsis
- Fishbone ingestion is a frequent reason for emergency department visits, and most cases can be resolved in clinic settings.
- The presence of an impacted fishbone in the throat, although rare, can lead to serious complications such as deep neck abscesses and airway obstruction, depending on the type of fishbone and the time before medical attention is sought.
- The case report highlights a rare occurrence of surgical subcutaneous emphysema following unsuccessful attempts to remove an ingested fishbone, emphasizing the need for thorough patient evaluation by emergency physicians.
Article Abstract
Background: Fishbone ingestion represents a common cause for emergency department (ED) referral. In the majority of cases, an observed fishbone can be easily retrieved in the clinic setting. An impacted fishbone in the throat, albeit uncommon, carries potential risks of life-threatening events. Unusual complications caused by a migrated fishbone, including deep neck abscess, airway obstruction, and major vessels injury, are greatly influenced by the type of ingested fishbone and time between onset and presentation.
Case Report: Here we report an unusual case of surgical subcutaneous emphysema after multiple attempts of purging to remove an ingested fishbone. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Fishbone foreign body is a common presentation to the ED. A thorough history and examination for the migratory foreign body is essential, as the complications are consequential.
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| http://dx.doi.org/10.1016/j.jemermed.2021.02.022 | DOI Listing |
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