Fish bone foreign body disease : a case with dramatic complication
Fish bone is the commonest cause of foreign body disease in Asian population. Esophageal perforation following fish bone foreign body accounts for 1-4% of the total reported cases. A 60-year-old lady presented with progressively worsening dysphagia and odynophagia over five days period following...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Pusat Perubatan Universiti Kebangsaan Malaysia
2018
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| Online Access: | http://journalarticle.ukm.my/20221/1/28_ms0214_pdf_68576.pdf |
| _version_ | 1796933211433992192 |
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| author | Ng, Von How Ahmad KI, |
| author_facet | Ng, Von How Ahmad KI, |
| author_sort | Ng, Von How |
| collection | UKM |
| description | Fish bone is the commonest cause of foreign body disease in Asian population.
Esophageal perforation following fish bone foreign body accounts for 1-4% of the
total reported cases. A 60-year-old lady presented with progressively worsening
dysphagia and odynophagia over five days period following a fish meal. She
sought treatment at two general practitioner clinic and a private hospital before
being referred to Ear, Nose and Throat specialist. Repeated neck X-ray revealed a
significant increase in prevertebral soft tissue thickness with large air-pocket tracking,
small opacity at the prevertebral C3 level and subcutaneous emphysema anterior
to the neck suggestive of retropharyngeal hematoma or abscess. A CT neck and
thorax showed a 2.1 cm linear dense structure at the level of C7/T1 that appeared
to protrude outside the esophagus in between the tracheoesophageal space. Direct
laryngoscopy and repeat emergency esophagoscopy revealed a perforation at the
right side of esophagus distal to cricopharyngeus with pus discharge upon milking
of posterior lateral wall and a fish bone measuring 3.0 x 0.5 cm was removed
from posterior wall of esophagus 17 cm from incisor. Gastrograffin study on day
10 was normal and was discharged on day 11 with Ryle’s tube feeding and to
complete oral antibiotic. Fiber optic endoscopic evaluations of swallowing at two
weeks follow up was normal. Subsequent review in the clinic showed full recovery
without sequelae. Migrating fish bone can lead to esophagus penetration with
serious complications. Mortality and morbidity from fish bone foreign body can
be minimized with early diagnosis, referral and removal. |
| first_indexed | 2024-03-06T04:43:45Z |
| format | Article |
| id | ukm.eprints-20221 |
| institution | Universiti Kebangsaan Malaysia |
| language | English |
| last_indexed | 2024-03-06T04:43:45Z |
| publishDate | 2018 |
| publisher | Pusat Perubatan Universiti Kebangsaan Malaysia |
| record_format | dspace |
| spelling | ukm.eprints-202212022-10-21T08:47:23Z http://journalarticle.ukm.my/20221/ Fish bone foreign body disease : a case with dramatic complication Ng, Von How Ahmad KI, Fish bone is the commonest cause of foreign body disease in Asian population. Esophageal perforation following fish bone foreign body accounts for 1-4% of the total reported cases. A 60-year-old lady presented with progressively worsening dysphagia and odynophagia over five days period following a fish meal. She sought treatment at two general practitioner clinic and a private hospital before being referred to Ear, Nose and Throat specialist. Repeated neck X-ray revealed a significant increase in prevertebral soft tissue thickness with large air-pocket tracking, small opacity at the prevertebral C3 level and subcutaneous emphysema anterior to the neck suggestive of retropharyngeal hematoma or abscess. A CT neck and thorax showed a 2.1 cm linear dense structure at the level of C7/T1 that appeared to protrude outside the esophagus in between the tracheoesophageal space. Direct laryngoscopy and repeat emergency esophagoscopy revealed a perforation at the right side of esophagus distal to cricopharyngeus with pus discharge upon milking of posterior lateral wall and a fish bone measuring 3.0 x 0.5 cm was removed from posterior wall of esophagus 17 cm from incisor. Gastrograffin study on day 10 was normal and was discharged on day 11 with Ryle’s tube feeding and to complete oral antibiotic. Fiber optic endoscopic evaluations of swallowing at two weeks follow up was normal. Subsequent review in the clinic showed full recovery without sequelae. Migrating fish bone can lead to esophagus penetration with serious complications. Mortality and morbidity from fish bone foreign body can be minimized with early diagnosis, referral and removal. Pusat Perubatan Universiti Kebangsaan Malaysia 2018 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/20221/1/28_ms0214_pdf_68576.pdf Ng, Von How and Ahmad KI, (2018) Fish bone foreign body disease : a case with dramatic complication. Medicine & Health, 13 (1). pp. 264-271. ISSN 2289-5728 https://www.medicineandhealthukm.com/toc/13/1 |
| spellingShingle | Ng, Von How Ahmad KI, Fish bone foreign body disease : a case with dramatic complication |
| title | Fish bone foreign body disease : a case with dramatic complication |
| title_full | Fish bone foreign body disease : a case with dramatic complication |
| title_fullStr | Fish bone foreign body disease : a case with dramatic complication |
| title_full_unstemmed | Fish bone foreign body disease : a case with dramatic complication |
| title_short | Fish bone foreign body disease : a case with dramatic complication |
| title_sort | fish bone foreign body disease a case with dramatic complication |
| url | http://journalarticle.ukm.my/20221/1/28_ms0214_pdf_68576.pdf |
| work_keys_str_mv | AT ngvonhow fishboneforeignbodydiseaseacasewithdramaticcomplication AT ahmadki fishboneforeignbodydiseaseacasewithdramaticcomplication |