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Saturday, 23 May 2015

CASE 313: FISH BONE APPEARING in NECK, Dr PHAN THANH SƠN, Dr NGUYỄN ĐỨC DUY LINH, Dr NGUYỄN NGỌC XUÂN GIANG, BÌNH AN HOSPITAL, KIÊN GIANG

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case-313-fish-bone-appearing-in-NECK

Male patient 79 yo had foreign body on right neck (see pictures).
HISTORY
4 days before of hospitalization, during dinner with stingrays, in sneezing, a 79 yo patient took out and in some fish parts, and then feeling caught something in his throat but still eating.
Morning after he went to hospital as felt felt like a head of bone at his right neck.

ULTRASOUND

 Ultrasound at right neck revealed a fish bone in soft tissue, echogenic line in subcutaneous edema around the fish bone, but no vascular.

ENT ENDOSCOPY


 ENT endoscopy detected edema of right piriformis recess due to fish bone perforating outside from the throat.

CT SCAN
CT–Scan confirmed the fish bone in the right neck, not injured the right vessels of the neck.




The fish bone was removed out of the right neck, with 2.8 cm long of size.


Fish food is very interesting, but sometimes lead to dangerous situation like the case, specially for old patient. 

REFERENCE;


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