Open AccessFish Bone Migration- Culprit Leading to RetroParaoesophageal Abscess, Mediastinitis and Vocal Cord Palsy
Author(s) -
M Paul,
M Shashigopalan,
Johnson Nws
Publication year - 2020
Publication title -
international medical journal malaysia/iium medical journal malaysia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.139
H-Index - 9
eISSN - 2735-2285
pISSN - 1823-4631
DOI - 10.31436/imjm.v18i3.208
Subject(s) - medicine , mediastinitis , fish bone , impaction , culprit , odynophagia , retropharyngeal abscess , surgery , perforation , abscess , fish <actinopterygii> , dysphagia , materials science , psychiatry , fishery , myocardial infarction , metallurgy , punching , biology
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.