Chicken bone (fibula) perforation of the pharynx

Case contributed by Dr Chris O'Donnell

Presentation

Eating chicken dinner, now severe pain in throat with feeling of a "foreign body"

Patient Data

Age: 65
Gender: Male
Gross prevertebral free gas, no definite foreign body

CT perfomed without IV contrast to help detect foreign body

Sharp tapered end of a 4.5 cm long chicken bone (fibula) perforating through the posterior pharyngeal wall leading to free gas. Note the absence of lower dentition meaning that the chicken leg was not adequately masticated prior to swallowing!

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Case information

rID: 21332
Case created: 16th Jan 2013
Last edited: 18th Nov 2015
System: Head & Neck
Inclusion in quiz mode: Included

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