| CASE REPORT |
|
| Year : 2013 | Volume
: 15
| Issue : 2 | Page : 162-164 |
|
|
Penetrating aero-digestive fish bone injury
Olushola Abdulrahman Afolabi1, Benjamin Olusomi Bolaji2, Stephen Oluwatosin Adebola1, Stephen Agbomekhien Ogah1, Foluwasayo Emmanuel Ologe1
1 Department of Otorhinolaryngology, Faculty of Clinical Sciences, University of Ilorin and University of Ilorin Teaching Hospital, Ilorin, Nigeria
2 Department of Anaesthesia, Faculty of Clinical Sciences, University of Ilorin and University of Ilorin Teaching Hospital, Ilorin, Nigeria
Correspondence Address:
Benjamin Olusomi Bolaji
Department of Anaesthesia, Faculty of Clinical Sciences, College of Health Science, University of Ilorin, Ilorin
Nigeria
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/2276-7096.123623
|
|
|
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. |
|
|
|
| [FULL TEXT] [PDF]* |
|
 |
|
