Clinics in diagnostic imaging (100). Migrated pharyngeal fish bone.
A 71-year-old man presented with a suspected swallowed fish bone. The lateral radiograph of the neck showed a curvilinear radio-opaque density in the swollen pre-vertebral soft tissues. The diagnosis of a migrated fish bone was confirmed on computed tomography and during subsequent surgery. The patient made a good recovery. As calcified normal structures, particularly the laryngeal cartilages, can mimic abnormal radio-opaque foreign bodies, it is important to be able to recognise the normal calcified structures seen on the neck radiograph. A sound knowledge of radiological anatomy is required in order to avoid unnecessary investigation and to provide prompt and appropriate management.
Department of Diagnostic Radiology, Changi General Hospital, 2 Simei Street 3, Singapore.
A
A
Chawla
S P
SP
Eng
W C G
WC
Peh
D000368:Aged; D019980:Amoxicillin-Potassium Clavulanate Combination / Q000008:administration & dosage / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D004359:Drug Therapy, Combination / Q000008:administration & dosage / Q000627:therapeutic use; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007817:Laryngeal Cartilages / Q000000981:diagnostic imaging*; D008297:Male; D009333:Neck / Q000000981:diagnostic imaging*; D010614:Pharynx / Q000000981:diagnostic imaging; D011182:Postoperative Care; D013997:Time Factors; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D019980:Amoxicillin-Potassium Clavulanate Combination