Ingested fish bone causing cervical esophageal perforation with evaluation of critical anatomy by CT: A case report

Yamada, Hisanobu; Fujita, Yoshihiro; Amagai, Teruyoshi

doi:10.1016/j.radcr.2022.07.082

Cited by 1 publication

(2 citation statements)

References 7 publications

(8 reference statements)

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“…In the literature, other complications related to fishbone ingestion have been reported, including vocal cord paresis, hepatic abscess, aortic-oesophageal fistula, subclavian oesophageal fistula, carotid rupture, subclavian artery pseudoaneurysm, aortic pseudoaneurysm, false oesophageal hiatus hernia, and pharyngeal perforation [ 4 ]. In 2020, Lambert et al reported a case of tilapia fishbone ingestion causing oesophageal perforation and neck abscess, which was managed by right cervicotomy [ 2 ]. In the current case, there were a few complications worth discussing.…”

Section: Discussionmentioning

confidence: 99%

“…Oesophageal perforation is a rare, severe, and challenging surgical emergency that can be caused either iatrogenically, such as through intubation, surgical procedures, or endoscopic examinations, or by non-iatrogenic causes like penetrating trauma or foreign body ingestion [ 1 ]. It is associated with a high mortality rate of 40-60% when the treatment is delayed for more than 24 hours [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

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Ingested Australasian Snapper (Chrysophrys auratus) Bone Migration to C5 Vertebral Body

Mohamed Ramlee,

Ibrahim,

Hashim

2024

Cureus

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Fishbone ingestion has been reported multiple times previously as a cause of oesophageal perforation. This is a surgical emergency that needs to be identified early to ensure immediate medical attention. This report presents the case of a 70-year-old patient with laryngeal perforation and the migration of a Chrysophrys auratus (Australasian snapper) fishbone to the C5 vertebral body. It is hypothesized that the fishbone migrated from the larynx to the visceral fascia and prevertebral fascia before lodging in between the intramuscular substance of the longus coli muscle. Multiple imaging modalities were used to identify and locate the foreign body, including flexible nasopharyngoscopy, esophagogastroduodenoscopy, and a computed tomography (CT) scan of the neck. The exploration of the neck was done by the ENT team and the orthopaedic spine team via the left anterior cervical approach at the level of the C5 and C6 vertebral bodies. The foreign body was identified (15 mm fishbone) at the left lateral of the C5 body, lodged between the intramuscular substance of the longus coli muscle, and was successfully removed.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%