HighlightsIntramural jejunal hematoma is very rare with only few cases reported in the literature.The trauma in majority of cases is trivial and usually the patients present late.It can present with intestinal obstruction.It should be suspected when a child presents with intestinal obstruction and history of blunt abdominal trauma.

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Introduction Thyroid abscesses are a rare septic complication as the thyroid is innately resistant to infection. Case presentation Here, we present a case of a 49-year-old female with history of accidental ingestion of a fish bone, subsequent perforation of the esophagus, and thyroid abscess formation. Management approach consisted of imaging of the gland followed by upper gastrointestinal endoscopy and surgical thyroidotomy with fish bone extraction. Conclusion In this case presentation, we highlight the pathophysiology behind thyroid abscess along with review of offered lines of management of this disease from imaging and procedures of diagnosis to treatment approach of source control by both surgical and conservative approach.