Penetrating Aero‑digestive Fish bone injury
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Date
2013
Journal Title
Journal ISSN
Volume Title
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Published by Faculty of Medical Sciences, University of Jos. Jos, Nigeria.
Abstract
The aim of the report is to re‑emphasize how dangerous fish bone impaction in the esophagus could be and that a combination
of pointing sign with radiographic features improves the specificity of the diagnosis. A 45‑year‑old male civil servant presented
with 4 days history of fish bone impaction in the throat while taking meal containing fish with accidental ingestion of fish bone.
This was associated with odynophagia, dysphagia, drooling of saliva, failed attempted dislodgement with swallowed boluses
and positive pointing sign. Neck X‑ray showed prevertebral widening and radio‑opaque tracheoesophageal penetrating foreign
body. He had endoscopy under general anesthesia with retrieval of the fish bone. Laryngo‑ esophagoscopy showed a laceration
in the esophageal mucosal, which penetrated into the laryngeal inlet. This case report re‑emphasizes the danger of attempting
to dislodge such sharp foreign bodies with boluses of food.
Description
Penetrating aero‑digestive fish bone injury
Keywords
Aero‑digestive,, fish bone,, injury
Citation
Afolabi, O.A., Bolaji, B.O., Adebola, S.O., Ogah, S.A. & Ologe, F.E., (2013): Penetrating Aero‑digestive Fish bone injury Journal of Medicine in the Tropics 15(2); 162 ‑ 164.