Esophageal Fish Bone Impaction: The Importance of Early Diagnosis and Treatment to Avoid Severe Complications

Conthe, Andrés; Otero, Isabel Payeras; Gavín, Luis Alberto Pérez; García, Ainara Baines; Peirón, Clara Usón; Gómez, Clara Villaseca; Fajes, José Luis Herrera; Nogales, Óscar

doi:10.17235/reed.2022.8537/2021

Cited by 4 publications

(3 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In adults, the oropharynx and hypopharynx are the most common sites of impaction, followed by the oral cavity and esophagus[ 4 ]. The palatine tonsil, root of the tongue, pyriform fossa and esophagus are the most common sites of embolism.…”

Section: Discussionmentioning

confidence: 99%

Translocation of a fish spike from the pharynx to the thyroid gland: A case report

Li,

Zeng,

Jiang

et al. 2024

World J Clin Cases

View full text Add to dashboard Cite

BACKGROUND A fish spike stuck in the throat is a common ear, nose, and throat (ENT) emergency. However, it is very rare for a fish spike to reach the thyroid tissue through the throat, which is very dangerous and can lead to pharyngeal fistula, cervical abscess, mediastinal abscess, and thyroid abscess. Proper and timely management can help reduce complications, especially in elderly patients. CASE SUMMARY In the case presented here, the causative factor was dentures, but improper management aggravated the condition. In the case presented here, an elderly woman with a history of accidentally swallowing fish bones for 20 d had a sensation of foreign bodies in her throat. Eventually, computed tomography (CT) of the neck showed that the left side of the thyroid gland had a dense shadow in the form of a stripe. CONCLUSION If a fishbone foreign body is not visible during endoscopic examination but the patient has significant symptoms, the surgeon should be aware that the fishbone may be lodged in the thyroid. To avoid a misdiagnosis, ultrasound, CT, and other tests can be used to clarify the diagnosis. T The first step in treating a fish bone in the thyroid gland is to determine the position of the foreign body and the extent of the infection, and to develop a personalized surgical plan for its removal. At the same time, scientific information should be made available to the general public so that people know that if a fish bone is accidentally lodged, they should not force it to be swallowed or be spit out by inducing vomiting, which are incorrect methods and may aggravate the condition or even cause it to migrate outside the cavity, leading to serious complications, as in this reported case.

show abstract

Section: Discussionmentioning

confidence: 99%

Translocation of a fish spike from the pharynx to the thyroid gland: A case report

Li,

Zeng,

Jiang

et al. 2024

World J Clin Cases

View full text Add to dashboard Cite

show abstract

“…The present case was a high-risk esophageal foreign body due to its proximity to the thoracic aorta. It is important to conduct a meticulous anamnesis, adequate imaging and urgent gastroscopy for patients with esophageal fish bone impaction before treatment ( 19 ). Due to several factors, such as changes in the position of the patient and endoscopic techniques, it was necessary to reposition the two ends of the fish bone.…”

Section: Discussionmentioning

confidence: 99%

Combination of gastroscopy and fibro‑bronchoscopy facilitates removal of incarcerated fish bone in the esophagus: A case report

Ma,

Tian,

Chen

et al. 2023

Exp Ther Med

View full text Add to dashboard Cite

Esophageal foreign body impaction is a notable clinical emergency. If the high-risk esophageal foreign bodies are not removed in time, life-threatening complications, such as perforation, infection and injury to the vessels, may occur. In the present study, the case of a patient experiencing a foreign body sensation in the throat after ingesting a fish bone by mistake is presented. A high risk of impending arterial puncture was confirmed using thoracic CT and thoracic aorta CT angiography scanning. The ends of the fish bone were first confirmed using a fibro-bronchoscopy light source passing through the bronchial and esophageal walls, before biopsy forceps were used to successively free the thoracic aorta and bronchial ends under gastroscopy. Finally, the fish bone was safely removed using a combination of gastroscopy and the rarely used fibro-bronchoscopy, and the patient recovered well after standard care. In certain cases of foreign bodies, it is necessary to use multiple strategies in a timely manner according to the type and location of the ingested foreign body.

show abstract

“…A case series recently published in REED again highlighted the importance of early diagnosis and treatment for the prevention of complications of esophageal fishbone impaction (1). As the most common foreign body (FB) in China, fishbone ingestion is frequently encountered in our daily clinical practice.…”

Section: Dear Editormentioning

confidence: 99%

Endoscopy-negative esophageal foreign body - The role of computed tomography

Dong¹,

Tao²,

Wu³

et al. 2022

Rev Esp Enferm Dig

View full text Add to dashboard Cite

Esophageal Fish Bone Impaction: The Importance of Early Diagnosis and Treatment to Avoid Severe Complications

Cited by 4 publications

References 14 publications

Translocation of a fish spike from the pharynx to the thyroid gland: A case report

Translocation of a fish spike from the pharynx to the thyroid gland: A case report

Combination of gastroscopy and fibro‑bronchoscopy facilitates removal of incarcerated fish bone in the esophagus: A case report

Endoscopy-negative esophageal foreign body - The role of computed tomography

Contact Info

Product

Resources

About