Delayed pathological finding of a small fish bone causing a purulent cyst in the pharynx: a case report.

J Int Med Res

Department of Otorhinolaryngology-Head and Neck Surgery, Bethune International Peace Hospital, The 980th Hospital of the Joint Logistics Support Force, Shijiazhuang, China.

Published: July 2023

We describe the case of a patient who swallowed a small fish bone and felt it lodge in her pharynx, but failed to seek medical attention in a timely manner. One week later, no foreign body was found in the hypopharynx or larynx, but a small purulent cyst was present in the epiglottic vallecula. A computed tomography scan showed a high-density area on the lingual surface of the epiglottis, which was considered to represent an embedded fish bone. A week later, the patient's discomfort had subsided, and flexible videoendoscopy showed that the purulent cyst in the epiglottic vallecula had disappeared. We surmise that the purulent cyst had ruptured spontaneously and the foreign body had been discharged. This represents an example of how an impacted small foreign body may be spontaneously discharged from the body.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10392475PMC
http://dx.doi.org/10.1177/03000605231187947DOI Listing

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