| Migration and Self-extrusion of a Fish Bone with Serrated Edges Through the Skin of the Posterior Neck Following Penetration of Cervical Esophagus |
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Chang-Sik Yoon, M.D., Sang-Jin Kim, M.D., Yong-Jae Cho, M.D. and Eui-Kyo Seo, M.D. |
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Department of Neurosurgery, Ewha Womans University Mokdong Hospital, Seoul, Korea |
| 경추부 식도를 뚫고 이동하여 후경부 피부로 자가돌출한 톱니모양의 생선가시 |
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윤창식, 김상진, 조용재, 서의교 |
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이화여자대학교 의과대학 신경외과학교실 |
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| Abstract |
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Fish bone is one of the most common foreign body in the upper digestive tract. However, oropharyngeal penetration and extra-luminal migration of it into the neck is extremely rare. A 65-year-old male with cerebral palsy swallowed a sharp fish bone while eating a meal of raw fish. The foreign body penetrated the pharynx and then through the right parapharyngeal space migrated to the posterior neck skin during nine days. An attempt to remove the foreign body surgically failed at third day after admission. However, six days followed surgery, the foreign body extruded by itself through the posterior neck skin. The foreign body was 4cm in length and a pointing serrated fish bone, which resembled a double edged saw blade. The patient was discharged uneventfully. Surgeons should keep in mind such cases should be treated with great care due to potential foreign body migration during treatment.
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| Keywords:
Migration, Foreign body, Bone, Neck |
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