A 17-year-old boy, seeing a large swelling in his neck, went to the Ho Chi Minh City Oncology Hospital for examination. The doctor directed him to the ENT Hospital because he suspected a foreign object in his neck.
The patient had difficulty swallowing after a party 6 months ago. A medical examination in Kien Giang did not record any foreign objects. After that, the patient did not have much pain in swallowing, could eat and drink, and only had pain and swelling in the lower chin recently.
On August 14, Dr. Le Tran Quang Minh, Director of the Ho Chi Minh City Ear, Nose and Throat Hospital, said that this was a very rare case of fish bone stuck in the throat because the foreign object from the digestive tract had moved to the neck area, causing complications with an abscess of about 3 cm.
The surgeons opened the floor of the mouth, removed about 5 ml of pus and the foreign object, which was a fish bone. After surgery, the patient's discomfort decreased and the surgical wound quickly dried.
"I didn't know I had a fish bone stuck in my throat. At that time, I just had a fever and had trouble swallowing, but I couldn't find the cause. This time, I know the cause, and luckily it's not cancer," the patient said.
Dr. Nguyen Tuong Duc, Deputy Head of Pediatrics and General Department, said that there were many difficulties in diagnosis and surgery because the patient himself did not know that he had ever had a fish bone stuck in his throat. The bone fragment had been in his body for a long time and had broken into two. After removing the fish bone, the doctor discovered that the size was shorter than the image on the CT scan, so he continued to search and remove the remaining piece.
According to doctors, foreign bodies in the digestive tract, especially fish bones, can move and cause many complications such as esophageal perforation, mediastinitis, vascular complications, neck abscesses, etc. In the world , the rate of foreign bodies in the digestive tract "migrating" to the neck area is quite rare. The neck area has large blood vessels, and if the fish bone accidentally penetrates an artery on the way, causing an artery rupture, it will be dangerous.
Doctors recommend that when there are signs of fish bone stuck in the throat such as painful swallowing, difficulty swallowing, patients should see a specialist as soon as possible for timely detection and treatment.
Le Phuong
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