Migratory Fish Bone in the Thyroid Gland: Case Report and Literature Review

Introduction. Foreign body stuck in the throat is a common emergency case, which can be removed by the endoscopic treatment. Fish bones are one of the common observed foreign bodies in the pharynx or cervical esophagus. Fish bones have a risk of damaging the mucosa when lodged in the upper digestive tract. Foreign bodies of fish bones located outside the laryngopharyngeal tissue are relatively unusual, and it is even more rare that they remain in the thyroid. It may cause local infection, abscess formation, large blood vessels rupture, and other serious life-threatening complications when the position of the fish bone migrates to the neck. We present a unique case of a 31-year-old woman in whom a fish bone was found in the thyroid. The fish bone had been removed successfully two months after the onset of symptoms. The relevant literature is reviewed and summarized.Case Presentation. A foreign body which is located in the neck area by swallowing is usually found in the emergency case. One of the commonest foreign bodies is the fish bone. The common presenting symptoms include foreign body (FB) sensation and or a sharp pain during swallowing. But we report a rare case in which a migratory fish bone stuck in the thyroid gland was found after 3 months. We retrieved previous literature and made a summary.Conclusions. Fish bones are not easy to be found as a foreign body. Surgeons should be aware that fish bones can become lodged in the thyroid gland. Combined with the history should be a wary fish bone to migrate to the case of the thyroid, to avoid misdiagnosis. To confirm the diagnosis, we can take ultrasound, computerized tomographic scanning (CT), and other tests.

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Migration of an Ingested Fish Bone to the Submandibular Gland: A Case Report and Literature Review

Biomedicine Hub ◽

10.1159/000501873 ◽

2019 ◽

Vol 4 (2) ◽

pp. 1-4

Author(s):

Jinhua Ma ◽

Yahui Sun ◽

Baoqiang Dai ◽

Hongqin Wang

Keyword(s):

Case Report ◽

Foreign Body ◽

Thyroid Gland ◽

Literature Review ◽

Submandibular Gland ◽

Foreign Bodies ◽

Soft Tissues ◽

Fish Bone ◽

Fish Bones ◽

Routine Inspection

Background: Fish bone is one of the most common foreign bodies that gets lodged in the upper digestive tract, often located in the tonsil, epiglottis, pear-shaped fossa, and esophagus, where it may be easily located on routine inspection and removed. The forcible swallowing of food such as rice balls after ingesting fish bones by mistake may lead to the migration of the fish bone from the pharynx, throat, or esophagus to the surrounding tissues. Migration most commonly occurs to the soft tissues of the neck, even to the thyroid gland, but migration to the submandibular gland has rarely been reported. Conclusions: Foreign body ingestion may cause a series of complications and endanger a patient’s life. Cases require high awareness and attentiveness on the part of the first physician to diagnose and manage the condition, and appropriate health education should be imparted to the patient.

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Fish Bone Migrating into the Thyroid Gland

International Journal of Head and Neck Surgery ◽

10.5005/jp-journals-10001-1179 ◽

2014 ◽

Vol 5 (1) ◽

pp. 42-44

Author(s):

Jay Kantilal Kotecha

Keyword(s):

Foreign Body ◽

Soft Tissue ◽

Thyroid Gland ◽

Foreign Bodies ◽

Fish Bone ◽

Left Lobe ◽

Rare Phenomenon ◽

Head Neck

ABSTRACT Many cases have been reported in the literature about foreign bodies lodged in the hypopharynx. A foreign body penetrating the esophagus and migrating into the soft tissue of neck is a rare phenomenon. We report a case of 35 years male who ingested a fish bone which then migrated into left lobe of thyroid and the role of imaging in its detection and management. How to cite this article Kotecha JK. Fish Bone migrating into the Thyroid Gland. Int J Head Neck Surg 2014;5(1):42-44.

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STOMACH FISH BONE PERFORATION.CLINICAL CASE

Modern medical technologies ◽

10.34287/mmt.3(46).2020.11 ◽

2020 ◽

Vol 46 (3) ◽

pp. 64

Author(s):

N.V. Rudik ◽

A. S. Sementsov ◽

D. B. Fedchuk

Keyword(s):

Computed Tomography ◽

Foreign Body ◽

Foreign Bodies ◽

Clinical Observation ◽

Fish Bone ◽

Specific Location ◽

Fish Bones ◽

Life Threatening ◽

Wall Perforation ◽

Tomography Data

Abstract Stomach foreign bodies take second place after foreign bodies of the esophagus and can be both harmless as well as life-threatening. The shape, size, and time of the swallowed foreign body to get deposited in the specific location determine the type of treatment. The article presents a clinical observation – the stomach wall perforation of fish bones, principles of examination of the patient, computed tomography data and surgical treatment. Keywords: stomach, foreign body, perforation, computed tomography, treatment.

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Migrated pharyngeal fish bone causing spondylodiscitis. Case report

Coluna/Columna ◽

10.1590/s1808-185120141301rcc69 ◽

2014 ◽

Vol 13 (1) ◽

pp. 67-68 ◽

Cited By ~ 1

Author(s):

Aluizio Augusto Arantes Júnior ◽

Jose Augusto Malheiros ◽

Marco Tulio Domingos Silva e Reis ◽

Gustavo Meyer de Moraes

Keyword(s):

Case Report ◽

Cervical Spine ◽

Foreign Body ◽

Foreign Bodies ◽

Fish Bone ◽

Emergency Rooms ◽

Infectious Process ◽

Fish Bones ◽

First Case ◽

Longus Colli

Ingestion of foreign bodies is a common problem seen at emergency rooms and frequently involves chicken and fish bones. There are few cases of migrated foreign bodies through the retropharynx causing infectious process in the area but no one, despite the proximity, causing spondylodiscitis. Perhaps such condition is attributed to the integrity of the longus colli fascia covering and protecting the cervical spine. We described the first case of spondylodiscitis due to a foreign body (saw-toothed fish bone) that penetrated the longus colli fascia and carved into vertebral body C3.

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A Rare Case of a Foreign Body Migration from the Upper Digestive Tract to the Subcutaneous Neck

Ear Nose & Throat Journal ◽

10.1177/014556130208101014 ◽

2002 ◽

Vol 81 (10) ◽

pp. 730-732 ◽

Cited By ~ 12

Author(s):

Kenny Peter Pang ◽

Yoke Teen Pang

Keyword(s):

Foreign Body ◽

Digestive Tract ◽

Rare Case ◽

Foreign Bodies ◽

Soft Tissues ◽

Fish Bone ◽

Fish Bones ◽

Upper Digestive Tract ◽

Foreign Body Migration ◽

Base Of The Tongue

Ingested foreign bodies are not unusual in Singapore. The most common of these objects are fish bones, which typically become lodged in the tonsils or in the base of the tongue. We report a rare case of an ingested fish bone that migrated from the upper digestive tract and into the soft tissues of the neck just below the skin.

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Management of a metal foreign body entering the thyroid via the esophagus: a case report

Journal of International Medical Research ◽

10.1177/0300060520925377 ◽

2020 ◽

Vol 48 (5) ◽

pp. 030006052092537

Author(s):

Songxiang Wang ◽

Chaoyang Xu

Keyword(s):

Foreign Body ◽

Thyroid Gland ◽

Foreign Bodies ◽

Preoperative Assessment ◽

Fish Bone ◽

X Ray ◽

Pain Reporting ◽

The Right ◽

Metal Foreign Body ◽

Tomography Scan

The entry of a metallic foreign body into the thyroid gland via the esophagus is a rare occurrence, with no previously reported cases. We present a 42-year-old woman who was admitted to hospital with right-sided neck pain, reporting that she had inadvertently swallowed a fish bone. She underwent laryngoscopy, which showed no fish bone in the throat, and no obvious bleeding in the bilateral tonsils and pear-shaped fossa. X-ray examination showed a needle-shaped foreign body in the neck, and a computed tomography scan of her neck showed a 0.1-cm diameter, 2.0-cm long foreign body in the right thyroid. She underwent emergency surgery and a needle of the corresponding size was found in the thyroid gland. This case demonstrates the importance of adequate preoperative assessment and an appropriate surgical approach for thyroid metallic foreign bodies.

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Characteristics of fish-bone foreign bodies in the upper aero-digestive tract: The importance of identifying the species of fish

PLoS ONE ◽

10.1371/journal.pone.0255947 ◽

2021 ◽

Vol 16 (8) ◽

pp. e0255947

Author(s):

Tadahisa Shishido ◽

Jun Suzuki ◽

Ryoukichi Ikeda ◽

Yuta Kobayashi ◽

Yukio Katori

Keyword(s):

Foreign Body ◽

Digestive Tract ◽

Fish Species ◽

Foreign Bodies ◽

Age Distribution ◽

Fish Bone ◽

University Hospital ◽

Surgical Removal ◽

Endoscopic Removal ◽

Fish Bones

Background Fish bones are common foreign bodies in the upper aero-digestive tract, but their clinical features in relation to fish species have not been confirmed. We aimed to clarify the clinical characteristics of fish-bone foreign bodies and their location and removal methods depending on the fish species. Study design Retrospective, observational, monocentric study. Methods From October 2015 to May 2020, 368 patients visited the Department of Otolaryngology-Head and Neck Surgery at Tohoku University Hospital complaining of dysphagia, sore throat, or pharyngeal discomfort after eating fish. We analyzed the patients’ sex and age distribution, foreign-body location, type of the fish, and the techniques used for removing the foreign body. Results Fish bones were confirmed in the upper aero-digestive tract in 270 cases (73.4%), of which 236 (87.4%) involved fish-bone foreign bodies in the mesopharynx. The most frequently involved site was the palatine tonsil (n = 170). Eel was the most frequently observed fish species (n = 39), followed by mackerel (n = 33), salmon (n = 33), horse mackerel (n = 30), and flounder (n = 30). Among the 240 cases in which the bones did not spontaneously dislocate, 109 (45.4%) were treated by endoscopic removal (103 cases) or surgery (6 cases). In pediatric cases (<12 years old), almost all fish bones were found in the mesopharynx (138/139, 99.3%), and 31 cases (22.3%) required endoscopic removal. Flounder fish bones were often lodged in the hypopharynx and esophagus (9/30, 30%), hindering spontaneous dislocation and frequently necessitating endoscopic or surgical removal (19/29, 65.5%). Conclusion The characteristics of fish-bone foreign bodies differed depending on the fish species. Flounder bones were often stuck in the hypopharynx and esophagus and were likely to require more invasive removal methods. Confirming the species of the fish could facilitate appropriate diagnosis and treatment of fish-bone foreign bodies.

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Fish bone as a foreign body

The Journal of Laryngology & Otology ◽

10.1258/002221503322113058 ◽

2003 ◽

Vol 117 (7) ◽

pp. 568-569 ◽

Cited By ~ 6

Author(s):

Manoj Kumar ◽

George Joseph ◽

Seena Kumar ◽

Malcolm Clayton

Keyword(s):

Foreign Body ◽

Digestive Tract ◽

Foreign Bodies ◽

Diagnostic Value ◽

Fish Bone ◽

Plain Radiography ◽

X Rays ◽

X Ray ◽

Fish Bones ◽

The Uk

Fish bones are one of the most common foreign bodies in the upper aero-digestive tract. The use of plain X-ray in identifying fish bones has questionable value. We believe that the knowledge of the type of the fish ingested improves the diagnostic value of the neck X-rays. This study was designed to evaluate the relative radio-densities of the bones of commonly eaten fish in the UK. Twenty-three species of fish were studied and their bones were grouped into three depending upon their ratio-densities. This information is expected to be useful in identifying fish bones while reading plain radiography.

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Impacted inter-arytenoid chicken bone

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20204196 ◽

2020 ◽

Vol 6 (10) ◽

pp. 1894

Author(s):

Manish Munjal ◽

Shikha Gupta ◽

Tanvir Singh ◽

Porshia Rishi ◽

Harjnder Sidhu ◽

...

Keyword(s):

Foreign Body ◽

Hospital Admission ◽

Foreign Bodies ◽

Aerodigestive Tract ◽

Upper Aerodigestive Tract ◽

Chicken Bone ◽

The Common

The anebriated individual with sluggish reflexes is likely to aspirate inadverently fluids, semisolids and solids alike. Fish and chicken preparations with their sharp skeletal bones may lacerate or get entangled in the mucosa of the upper aerodigestive tract. The tonsillar fauces, pyriform fossae, post cricoid region, supraglottis, glottis, subglottis, trachea, carina and either bronchi are the common sites of impaction of sharp-edged foreign bodies. We herein present a case involving a 40-year-old patient who had aspirated a laryngotracheal foreign body (chicken bone) 3 days prior to hospital admission, which was removed by tracheostomy and suspension microlaryngoscopy.

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Tracheo-bronchial foreign bodies: our experience at a tertiary care hospital

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20161848 ◽

2016 ◽

Author(s):

Shashidhar S. Suligavi ◽

Mallikarjun N. Patil ◽

S. S. Doddamani ◽

Chandrashekarayya S. Hiremath ◽

Afshan Fathima

Keyword(s):

Foreign Body ◽

Early Diagnosis ◽

Foreign Bodies ◽

Tertiary Care ◽

Case Series ◽

Team Work ◽

Care Hospital ◽

Retrospective Case ◽

Presenting Symptoms ◽

Case Series Study

Background:Tracheo- bronchial foreign bodies have always posed a challenge to the ENT surgeon as they present with varied symptomatology ranging from a simple cough and fever to more grave respiratory distress. It requires a strong suspicion, early diagnosis and timely intervention to reduce the overall morbidity and mortality .This study was undertaken to highlight our experiences in handling cases of tracheo- bronchial foreign bodies (FB) at our setup.Methods:It is a retrospective case series study conducted in S. Nijalingappa Medical College between January 2011 and January 2015. Results:Most commonly affected were children between 1year to 3years of age. Chronic cough and wheeze were the commonest presenting symptoms. Vegetative foreign body was found to be the commonest variety of foreign body. The mortality rate in our study was 4.7% (n=3).Conclusions:A good clinical acumen, team work, early diagnosis and timely intervention are all needed to reduce the overall mortality and morbidity associated with tracheo- bronchial foreign bodies.

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