Johari HH, Khaw BL, Yusof Z, Mohamad I. Migrating fish bone piercing the common carotid artery, thyroid gland and causing deep neck abscess. World J Clin Cases 2016; 4(11): 375-379 [PMID: 27900327 DOI: 10.12998/wjcc.v4.i11.375]
Corresponding Author of This Article
Bee-Lian Khaw, MD, MS (ORL-HNS), ORL Specialist, Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Sultanah Bahiyah, KM6, Jalan Langgar, 05460 Alor Setar, Kedah, Malaysia. angelian_76@yahoo.co.uk
Research Domain of This Article
Otorhinolaryngology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Hafizah Husna Johari, Bee-Lian Khaw, Zulkifli Yusof, Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Sultanah Bahiyah, 05460 Alor Setar, Kedah, Malaysia
Hafizah Husna Johari, Irfan Mohamad, Department of Otorhinolaryngology Head and Neck, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kota Bharu, Kelantan, Malaysia
Author contributions: Johari HH collected the clinical data, analyzed the data and wrote the paper; Khaw BL, Yusof Z and Mohamad I did the clinical search and supervised writing.
Institutional review board statement: This case report was exempted from the Institutional Review Board standards at Hospital Sultanah Bahiyah.
Informed consent statement: The patients involved gave their verbal informed consent to this case report.
Conflict-of-interest statement: All authors have no conflict of interest in this case study.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Bee-Lian Khaw, MD, MS (ORL-HNS), ORL Specialist, Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Sultanah Bahiyah, KM6, Jalan Langgar, 05460 Alor Setar, Kedah, Malaysia. angelian_76@yahoo.co.uk
Telephone: +60-47407853 Fax: +60-47407335
Received: April 21, 2016 Peer-review started: April 22, 2016 First decision: July 5, 2016 Revised: August 1, 2016 Accepted: August 27, 2016 Article in press: August 29, 2016 Published online: November 16, 2016 Processing time: 206 Days and 20.1 Hours
Abstract
Foreign body (FB) ingestion is very common in Malaysian population. The most commonly ingested FB is fish bone. Common presenting symptoms include FB sensation, odynophagia and or sharp pricking pain during swallowing. A careful history and physical examination is very important. Despite negative laryngoscopy and rigid esophagoscopy, persistent symptoms warrants further radiographic imaging studies. The FB can migrate extraluminally and involve other important adjacent structures of the neck and along the digestive tract. We report 3 cases of extraluminal migration of fish bone and their complications, which were successfully managed. One case with vascular complication which involve common carotid artery and the other two cases with neck abscess formation involving thyroid gland, retropharyngeal and parapharyngeal abscess.
Core tip: Accidental fish bone ingestion is very common but the complication of migrating fish bone into the neck spaces causing abscess and adjacent important structures of the neck alarm us the need for earlier detection and intervention. This case report represents 3 cases of foreign body ingestion which has a life threatening complications but successfully treated and factors that lead to these complications identified.
