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Migrating fish bone presenting as a neck fistula
  1. Sara Fernandes Custódio,
  2. Pedro Branco,
  3. Pedro Machado Sousa and
  4. Pedro Alberto Escada
  1. Department of Otorhinolaryngology, Centro Hospitalar de Lisboa Ocidental EPE Hospital de Egas Moniz, Lisboa, Portugal
  1. Correspondence to Dr Sara Fernandes Custódio; saracustodio1{at}


The case report describes an extremely rare finding of fish bone migration from the aerodigestive tract causing a neck fistula 2 years after its ingestion. Detailed case study and surgical treatment is presented. This case highlights the need for further assessment in presence of a high clinical suspicion of foreign body ingestion with a normal physical examination of the upper aerodigestive tract, to avoid serious and potential life-threatening complications later on.

  • ear
  • nose and throat/otolaryngology
  • primary care
  • gastroenterology
  • head and neck surgery
  • otolaryngology/ENT

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  • Contributors All the authors contributed to the diagnosis and management of the clinical case. The article was written by SFC, with an important contribution of PB, PMS and PAE.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

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