rss
BMJ Case Reports 2017; doi:10.1136/bcr-2017-220869
  • Novel diagnostic procedure
  • CASE REPORT

It's a cod! Finding Nemo (impacted fishbone) in the emergency department

  1. Nigel Salter
  1. Emergency Department, St Vincent's University Hospital, Dublin, Ireland
  1. Correspondence to Dr Aileen McCabe, aileenmccabe{at}rcsi.ie
  • Accepted 30 May 2017
  • Published 15 June 2017

Summary

A 23-year-old woman presented to the emergency department (ED) with a sensation of a ‘fish bone’ stuck in her throat after eating cod. On physical examination, while she reported an uncomfortable sensation in her throat, no airway compromise was evident. Clinical examination, including ear, nose and throat (ENT) and oropharyngeal assessment, was unremarkable. A linear opacity consistent with a fishbone was visualised on a soft tissue lateral neck X-ray anterior to the vertebral body of C4–6. One attempt to visualise the fishbone on direct laryngoscopy failed in the ED. The fishbone was later removed the next day via direct visualisation with a flexible endoscope in the operating theatre by the ENT surgical team. The patient’s recovery was uneventful.

Footnotes

  • Contributors AMcC participated in the drafting, revising and conception of the manuscript. AP and NS participated in the revising of the manuscript.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article