Navigation guided removal of a retropharyngeal migrated fish bone into the foramen transversarium - A case report

Background: Fish bone ingestion causing esophageal perforation and retropharyngeal migration is a rare problem presenting to a spine surgeon. Case: A 58-year-old female presented with complaints of odynophagia following ingestion of fish. Rigid laryngoscopy and esophageal endoscopy showed esophageal...

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Main Authors: Praveen R. Iyer, Karthik Ramachandran, Sham Sundar Y, Ajoy Prasad Shetty, Shanmuganathan Rajasekaran
Format: Article
Language:English
Published: Elsevier 2025-08-01
Series:Journal of Orthopaedic Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2773157X25000657
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Summary:Background: Fish bone ingestion causing esophageal perforation and retropharyngeal migration is a rare problem presenting to a spine surgeon. Case: A 58-year-old female presented with complaints of odynophagia following ingestion of fish. Rigid laryngoscopy and esophageal endoscopy showed esophageal bulging without any luminal foreign body. X-ray and computed tomography of the neck showed retropharyngeal migration and impaction of the fish bone inside the right foramen transversarium of C3 vertebra. Fish bone was extracted under intra-operative CT navigation through an anterior cervical approach. Conclusion: This report highlights the importance of CT in localizing a migrating retropharyngeal foreign body and navigation aiding in its removal.
ISSN:2773-157X