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Introduction <p>Accidental upper aerodigestive tract foreign body impaction is a common emergency encountered in otolaryngology. While most cases are managed conservatively, certain sharp foreign bodies, such as fish bones, can lead to mucosal injuries and perforations. Due to their slippery and organic nature, fish bones may migrate to surrounding neurovascular structures, posing a risk for complications like pharyngeal abscesses. Early recognition and prompt diagnosis are crucial for successful outcomes.</p> Case Presentation <p>In this case report, we highlighted the management of a 43 yr old male, who presented with pain in neck after accidental ingestion of fish bone 7 days back. The patient developed intramural dissection of the hypopharynx and esophagus, along with the development of a pharyngeal abscess which posed significant surgical challenges. Management options are purely based on the surgeon’s expertise and the patient's condition.</p> Conclusion <p>This case highlights the importance of vigilance in managing aerodigestive tract foreign bodies. Clinicians should be aware of the potential complications associated with sharp foreign bodies, especially fish bones. Early intervention, multidisciplinary collaboration, and close follow-up are essential for optimal patient outcomes.</p>

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Migratory Intramural Sharp Fish Bone of Hypopharynx and Esophagus

  • 期刊论文

  • 发表日期：

    2026年2月27日

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  • Sumanth Bollu,
  • Sowrabh Kumar Arora,
  • Bhavya Mishra,
  • Vivek Mangla

摘要

Introduction

Accidental upper aerodigestive tract foreign body impaction is a common emergency encountered in otolaryngology. While most cases are managed conservatively, certain sharp foreign bodies, such as fish bones, can lead to mucosal injuries and perforations. Due to their slippery and organic nature, fish bones may migrate to surrounding neurovascular structures, posing a risk for complications like pharyngeal abscesses. Early recognition and prompt diagnosis are crucial for successful outcomes.

Case Presentation

In this case report, we highlighted the management of a 43 yr old male, who presented with pain in neck after accidental ingestion of fish bone 7 days back. The patient developed intramural dissection of the hypopharynx and esophagus, along with the development of a pharyngeal abscess which posed significant surgical challenges. Management options are purely based on the surgeon’s expertise and the patient's condition.

Conclusion

This case highlights the importance of vigilance in managing aerodigestive tract foreign bodies. Clinicians should be aware of the potential complications associated with sharp foreign bodies, especially fish bones. Early intervention, multidisciplinary collaboration, and close follow-up are essential for optimal patient outcomes.