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

PLoS ONE ◽  
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.

A foreign body (a fish bone) in the esophagus translocating into soft tissues of the neck – a case report

2019 ◽  
Vol 8 (1) ◽  
pp. 56-59
Author(s):  
Magda Licznerska-Kreczko ◽  
Jerzy Kuczkowski ◽  
Tomasz Nowicki ◽  
Maciej Świerblewski ◽  
Andrzej Skorek
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Antibiotic Prophylaxis ◽  
Digestive Tract ◽  
Foreign Bodies ◽  
Soft Tissues ◽  
Atlantic Cod ◽  
Fish Bone ◽  
Endoscopic Removal ◽  
Key Words Foreign Body

Background: Patients with foreign bodies in upper digestive tract not infrequently trigger many diagnostic and treatment challenges, especially when foreign bodies translocate and are lodged outside the esophagus. Case report: We present a case of a foreign body in esophagus 56-years old woman who had developed persistent sensation of an obstacle in her throat after eating fish (Atlantic cod). She has initially dismissed her symptoms and refused medical treatment. Subsequently, a neck CT done one week later showed a 20-milimeter long fish bone in the soft tissues on the left side of her neck (between pharynx and vertebral column). Few attempts of endoscopic removal were unsuccessful. Despite antibiotic prophylaxis and due to the fish bone translocation into soft tissues of the neck and its location close to a common carotid artery and an internal jugular vein a decision was made to remove it from the external approach. The foreign body was successfully removed without any esophageal damages. Conclusions: Foreign bodies in digestive tract may result in many life-threatening complications. The fundamental management is based on the endoscopic removal of a foreign body and the antibiotic prophylaxis. In case of foreign bodies lodged in soft tissues open surgery is recommended. Key words: foreign body in the esophagus; fish bone; paraesophageal abscess ; treatment

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

2002 ◽  
Vol 81 (10) ◽  
pp. 730-732 ◽  
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.

Fish bone as a foreign body

2003 ◽  
Vol 117 (7) ◽  
pp. 568-569 ◽  
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.

scholarly journals Foreign body ingestion in children

2019 ◽  
Vol 98 (9) ◽  
pp. 370-374
Keyword(s):  
Foreign Body ◽  
Digestive Tract ◽  
Foreign Bodies ◽  
Outpatient Setting ◽  
University Hospital ◽  
Surgical Removal ◽  
Tract Perforation ◽  
The Mean ◽  
The University ◽  
Swallowed Foreign Bodies

Introduction: Evaluation of results of the group of paediatric patients treated for swallowed foreign bodies in the digestive tract. Methods: Retrospective analysis of patients treated for foreign bodies in the digestive tract, managed at the University Hospital of Hradec Králové between 2011–2018. Results: 365 patients (182 boys, 183 girls) with a foreign body in the digestive tract have been evaluated. The mean age was 2.4 years. Most of the children were treated as outpatients (280 children, 76.7%) and only 85 children (23.3%) were hospitalized. The most commonly swallowed frequent bodies included coins (26%) and batteries (14.5%); sharp objects occurred in 5.2%. Unusual foreign bodies were noticed, too. We can mention for example a pen or a plant nutrition product. In 302 cases (82.7%) the foreign bodies passed easily per vias naturales. Endoscopy was necessary in 63 cases (17.2%) – in 51 children the object had to be removed from the oesophagus and in 12 children the object had to be removed from the stomach. None of the swallowed bodies caused complications such as digestive tract perforation or bowel obstruction. No patient in the group was indicated for laparotomy to remove the foreign body. Conclusion: Foreign bodies entrapped in the oesophagus have to be removed endoscopically. In most cases, foreign bodies in the stomach require only observation in the outpatient setting because they leave the stomach easily, without complications, per vias naturales. If a battery remains at the same place of the digestive tract for more than 24 hours, endoscopic removal is indicated at our department. In addition, endoscopy is done in cases of swallowed multiple magnets or bodies that are too large and remain in stomach for several weeks or months. Surgical removal of foreign bodies should be reserved only for complicated cases.

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

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
EnHao Wu ◽  
Lei Huang ◽  
Ya Zhou ◽  
Xun Zhu
Keyword(s):  
Foreign Body ◽  
Thyroid Gland ◽  
Foreign Bodies ◽  
Relevant Literature ◽  
Fish Bone ◽  
Migratory Fish ◽  
Emergency Case ◽  
Presenting Symptoms ◽  
Fish Bones ◽  
The Common

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.

scholarly journals STOMACH FISH BONE PERFORATION.CLINICAL CASE

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.

scholarly journals Migrated pharyngeal fish bone causing spondylodiscitis. Case report

2014 ◽  
Vol 13 (1) ◽  
pp. 67-68 ◽  
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.

scholarly journals Endoscopic Removal of Sharp Foreign Bodies in Neck Using Image Intensified Television

2010 ◽  
Vol 1 (2) ◽  
pp. 113-116 ◽  
Author(s):  
Arpit Sharma ◽  
Shawn T Joseph ◽  
Rahul C Gupta
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Intervertebral Disk ◽  
Management Decision ◽  
Surgical Removal ◽  
High Morbidity ◽  
Endoscopic Removal ◽  
Life Threatening ◽  
Foreign Body Impaction ◽  
Intervertebral Disk Space

Abstract Foreign body impaction in the neck poses life-threatening problems when it is deep and close to vital structures. We report two cases of sharp metallic foreign body impaction in the neck – one of them in the prevertebral space and the other in the intervertebral disk space. A neck exploration and surgical removal of these foreign bodies, as is usually practised in most centers, would have been life-threatening and associated with high morbidity. We removed these foreign bodies using rigid endoscope under image intensified television (IITV) guidance. The patients could be discharged the same day. We suggest that endoscopic removal under IITV fluoroscopy system should be the method of choice in the removal of foreign bodies located in these sites. We also propose a classification of neck into vertical segments which would be useful in the management decision of these cases.

scholarly journals PATTERN OF FOREIGN BODIES AERO DIGESTIVETRACT – A SINGLE CENTRE STUDY

2021 ◽  
Vol 71 (Suppl-1) ◽  
pp. S57-61
Author(s):  
Maqbool Raza ◽  
Atif Rafique ◽  
Shahid Farooq Khattak ◽  
Farhan Majeed ◽  
Khalid Azam ◽  
...  
Keyword(s):  
Foreign Body ◽  
Digestive Tract ◽  
Foreign Bodies ◽  
Main Bronchus ◽  
Case Series ◽  
Signs And Symptoms ◽  
Fish Bone ◽  
Military Hospital ◽  
Predominant Component ◽  
Single Centre Study

Objective: To find out the pattern of foreign bodies inhaled or ingested in a series of patients. Study Design: Case series. Place and Duration of Study: Ear, Nose and Throat (ENT) department, Pak Emirates Military Hospital (PEMH)Rawalpindi, Jan 2016 to Dec 2016. Methodology: A total of 46 cases of foreign body upper aero digestive tract who presented in the ENTDepartment, PEMH Rawalpindi in 2016 were included in this study. Twenty eight cases were of foreign bodyesophagus and 18 were of foreign body airway. The age, gender, duration of foreign body lodgment, types offoreign body’s physical signs and symptoms were recorded. Relevant radiographic studies were performed. Results: Out of 46 patients of foreign body aero digestive tract 33 were males and 13 were females. The overallfrequency of foreign bodies’ upper aero digestive tract was 46 (0.14%) with 28 (0.08%) being foreign bodiesesophagus and 18 (0.06%) foreign bodies airway. In 50% cases of bronchial foreign bodies were in age group 0-3 years. The most frequent foreign body in the esophagus was coin in 13(46.4%) followed by chicken bone 5 (17.8%) and fish bone 3 (10.7%). Peanuts, peas, and beans were predominant component of the airway foreign bodies constituting 6 (33.3%), 3 (16.6%) and 3 (16.6%) respective of the total. Most frequent sites of impaction of the foreign body were cervical esophagus 16 (34%), right main bronchus 11 (23.9%) and left main bronchus 3 (6.5%). Conclusion: Foreign body aero digestive tract is an uncommon but potentially life..........

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

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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