Presentation
Eating chicken dinner, now severe pain in throat with feeling of a "foreign body"
Patient Data
Age: 65 years
Gender: Male
From the case:
Chicken bone (fibula) perforation of the pharynx
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Gross prevertebral free gas, no definite foreign body
From the case:
Chicken bone (fibula) perforation of the pharynx
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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!
Case Discussion
CT performed without IV contrast will help detect foreign bodies, as IV contrast can potentially obscure small foreign bodies.