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Thyroid abscess resulting from transesophageal migration of a fish bone: Ultrasound appearance

Thyroid abscess resulting from transesophageal migration of a fish bone: Ultrasound appearance A. Coret, MD,* Z. Heyman, MD,* E. Bendet, MD,? M. Amitai, MD,* I. Itzchak, MD,* and J. Kronberg, MD,? Fish bones are common foreign bodies especially in the cervical esophagus. Few bones penetrate the esophageal wall; extremely rare are the cases in which penetrating foreign bodies migrate through the surrounding tissues. A case is presented of migration of a fish bone to the thyroid gland. This is the first such case diagnosed with the aid of ultrasonography. CASE REPORT A 38-year-old, generally healthy woman reported to the emergency room several hours after a fish meal complaining about dysphagia and cervical odynophagia. The physical examination and laryngoscopy were normal. Lateral cervical radiography and fluoroscopy with barium and barium impregnated cottonwool were normal. The patient was discharged with instructions for a follow-up visit if symptoms persisted. Five days later the patient returned to the hospital complaining about dysphagia and pain in the left side of the neck. A tender, erythematous, goiterous swelling was noted in the left lower neck (Figure 1). A repeat radiograph of the lateral cervical area demonstrated a n elongated radio-opaque foreign body superimposed on the tracheal air column at C5 level (Figure 2). The A-P film http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Clinical Ultrasound Wiley

Thyroid abscess resulting from transesophageal migration of a fish bone: Ultrasound appearance

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References (6)

Publisher
Wiley
Copyright
Copyright © 1993 Wiley Periodicals, Inc., A Wiley Company
ISSN
0091-2751
eISSN
1097-0096
DOI
10.1002/jcu.1870210215
Publisher site
See Article on Publisher Site

Abstract

A. Coret, MD,* Z. Heyman, MD,* E. Bendet, MD,? M. Amitai, MD,* I. Itzchak, MD,* and J. Kronberg, MD,? Fish bones are common foreign bodies especially in the cervical esophagus. Few bones penetrate the esophageal wall; extremely rare are the cases in which penetrating foreign bodies migrate through the surrounding tissues. A case is presented of migration of a fish bone to the thyroid gland. This is the first such case diagnosed with the aid of ultrasonography. CASE REPORT A 38-year-old, generally healthy woman reported to the emergency room several hours after a fish meal complaining about dysphagia and cervical odynophagia. The physical examination and laryngoscopy were normal. Lateral cervical radiography and fluoroscopy with barium and barium impregnated cottonwool were normal. The patient was discharged with instructions for a follow-up visit if symptoms persisted. Five days later the patient returned to the hospital complaining about dysphagia and pain in the left side of the neck. A tender, erythematous, goiterous swelling was noted in the left lower neck (Figure 1). A repeat radiograph of the lateral cervical area demonstrated a n elongated radio-opaque foreign body superimposed on the tracheal air column at C5 level (Figure 2). The A-P film

Journal

Journal of Clinical UltrasoundWiley

Published: Feb 1, 1993

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