title: Endoscopic removal of esophageal foreign body and drainage of thyroid abscess.
abstract: This is a 58 year old male who presented to our institution with foreign body sensation after eating fish the night before. Although lateral soft tissue films of the neck demonstrated a linear foreign body, this was missed and the patient was discharged home. One week later, he re-presented with persistent throat pain. A computed tomography scan of the neck demonstrated erosion of the foreign body through the esophageal wall and a rim enhancing collection in the right thyroid lobe. The patient was admitted and broad spectrum antibiotics were started. Using a transoral endoscopic approach the abscess was drained and a 2.0 cm sharp fishbone was successfully removed from a perforation at the esophageal inlet. A nasogastric tube was placed and the patient was kept NPO for 14 days postoperatively while his perforation healed. He had improvement in his symptoms and was stable in follow up.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery Boston University Medical Center, Boston, MA 02118, USA. joseph.depietro@bmc.org
authors.forename: Joe
authors.initials: J
authors.lastname: DePietro
authors.forename: Anand
authors.initials: A
authors.lastname: Devaiah
mesh_terms: D000038:Abscess / Q000209:etiology / Q000601:surgery*; D004322:Drainage; D004724:Endoscopy / Q000379:methods*; D004939:Esophageal Perforation / Q000000981:diagnostic imaging / Q000209:etiology*; D005548:Foreign-Body Migration / Q000150:complications* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009333:Neck / Q000000981:diagnostic imaging; D013959:Thyroid Diseases / Q000209:etiology / Q000601:surgery*; D014057:Tomography, X-Ray Computed