Case Report
Year: 2017 | Month: May | Volume: 7 | Issue: 5 | Pages: 406-409
Deep Neck Abscess Caused by a Migrating Fish Bone – A Case Report
Dr. Ram Singh1, Dr. Ankita Singh2, Dr. Vikrant Bagwe2, Dr. Rajesh Yadav3
1Registrar, 2House officer, 3Lecturer,
Dept of ENT and Head - Neck Surgery, Bharatratna Dr Babasaheb Ambedkar Muncipal General Hospital, Kandivali, Mumbai
Corresponding Author: Dr. Ram Singh
ABSTRACT
Foreign body in the neck usually will present with acute symptom of odynophagia or dysphagia. Migration of these foreign bodies to the adjacent structures may occur as late complication like deep neck infections especially if the initial workup missed to detect their presence. Although, deep neck infections are not uncommon; a migrating fish bone is seldom a cause of a deep neck abscess. Fish bones are a sharp foreign body and can penetrate the oropharynx or esophagus. However, this rarely occurs. We report a case of deep neck abscess resulting from the intracorporeal migration of a fish bone. Initial radiography and endoscopy of the neck, both were negative; migration of the bone was ultimately documented by computed tomography. Surgical exploration was performed via a lateral neck incision, and the fish bone was successfully retrieved. Although fish bones are a rare etiology of deep neck abscesses, should be kept in mind when a patient has the history of fish bone ingestion.
Key words: Fish bone, migratory, deep neck infection, abscess