Foreign body: fishbone

Presentation

Female patient who have a 4 day history of mid neck pain when swallowing either solid or liquid. Patient refered symptoms initiated after eating fish.

Patient Data

Age: 45 years
Gender: Female
X-ray

There is a marked widening of the prevertebral space and a dense linear structure associated.

CT

The CT shows a hyperdense linear lesion located in the right aspect of the esophagus that courses through the right prevertebral space, the finding is secondary to presence of fishbone injury.

There is gas and small fluid collection in the prevertebral space.

Incidentally there is right maxillary sinus congestion.

Case Discussion

Fishbone injury, as in this case, can produce esophageal perforation. Complications associated with this kind of injury are paraesophageal abscess, retropharyngeal abscess and airway injury.

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Case information

rID: 37695
Published: 19th Jun 2015
Last edited: 7th Dec 2015
System: Head & Neck
Inclusion in quiz mode: Included

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