Fish Bone Migration- Culprit Leading to RetroParaoesophageal Abscess, Mediastinitis and Vocal Cord Palsy
- Author:
Paul M
- Collective Name:Ng JJ , Shashigopalan M , Johnson NWS
- Publication Type:Case Reports
- Keywords:
neck, oesophageal perforation, foreign bodies, mediastinitis, vocal cord paralysis
- From:
The International Medical Journal Malaysia
2019;18(3):176-178
- CountryMalaysia
- Language:English
-
Abstract:
Fish bone ingestion and impaction are known to everyone. However, such benign incidences have been
reported to be associated with multiple potentially life threatening complications. Anatomical features of
the oesophagus forms the basis for such incidences. We report here an elderly diabetic gentleman with an
unusual left retro-paraoesophageal abscess complicated with oesophageal perforation, mediastinitis and
vocal cord paresis which were fundamentally caused by a migrated fish bone into the lower part of the neck
requiring therapeutic external neck exploration. Management of this case and its complications are
described here comprehensively.
- Full text:180322.pdf
