Laryngeal foreign body - fish bone

Case contributed by Liter Nguri
Diagnosis certain

Presentation

Pain on the left side of the neck. History of fish bone ingestion a few days back.

Patient Data

Age: 60 years
Gender: Female

A linear hyperdense structure (fishbone) measuring about (2.6 x 0.2 cm) is noted lying horizontally in the left paraglottic space about 6 mm up the superior margin of the left lamina of the thyroid cartilage.

Associated soft tissue thickening with loss of adjacent facial planes suggesting inflammation.

The rest of the study is unremarkable.

Case Discussion

Foreign body impaction in the larynx is not uncommon and if not detected early can lead to abscess formation, airway obstruction or perforation of the larynx.

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