Deep Neck Abscess Caused by a Migrating Fish Bone – A Case Report
Journal Title: International Journal of Health Sciences and Research - Year 2017, Vol 7, Issue 5
Abstract
Foreign body in the neck usually will present with acute symptom of odynophagia or dysphagia. Migration of these foreign bodies to the adjacent structures may occur as late complication like deep neck infections especially if the initial workup missed to detect their presence. Although, deep neck infections are not uncommon; a migrating fish bone is seldom a cause of a deep neck abscess. Fish bones are a sharp foreign body and can penetrate the oropharynx or esophagus. However, this rarely occurs. We report a case of deep neck abscess resulting from the intracorporeal migration of a fish bone. Initial radiography and endoscopy of the neck, both were negative; migration of the bone was ultimately documented by computed tomography. Surgical exploration was performed via a lateral neck incision, and the fish bone was successfully retrieved. Although fish bones are a rare etiology of deep neck abscesses, should be kept in mind when a patient has the history of fish bone ingestion.
Authors and Affiliations
Dr. Ram Singh
Keywords
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