Fish Bone or Cricoid Cartilage Ossification: A Clinico-Radiological Justification
摘要
Calcification of cricoid cartilage is a normal physiological process but may be misdiagnosed as a foreign body in the throat. Here we report a case with such presentation. A 48-year-old male presented with complaint of foreign body sensation and pain in throat. There was history of eating sea fish two weeks back. On examination of the neck, there was a 3 × 3 mm, single, tender and mobile Delphian node. Endoscopy revealed congestion of the pharyngeal wall and laryngopharyngeal reflux like appearance. Soft tissue X-ray of neck revealed a linear opacity in front of C6 vertebra. Non-contrast computerized tomography of the neck showed a bony dense linear calcification in the midline of lamina of the cricoid cartilage. Patient was prescribed antibiotics, anti-inflammatory and antacids. His symptoms gradually subsided by the 4th week. Clinicians should be aware cricoid calcification so that it is not confused with a fish bone.