Case Report
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 16, 2016; 4(11): 375-379
Published online Nov 16, 2016. doi: 10.12998/wjcc.v4.i11.375
Migrating fish bone piercing the common carotid artery, thyroid gland and causing deep neck abscess
Hafizah Husna Johari, Bee-Lian Khaw, Zulkifli Yusof, Irfan Mohamad
Hafizah Husna Johari, Bee-Lian Khaw, Zulkifli Yusof, Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Sultanah Bahiyah, 05460 Alor Setar, Kedah, Malaysia
Hafizah Husna Johari, Irfan Mohamad, Department of Otorhinolaryngology Head and Neck, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kota Bharu, Kelantan, Malaysia
Author contributions: Johari HH collected the clinical data, analyzed the data and wrote the paper; Khaw BL, Yusof Z and Mohamad I did the clinical search and supervised writing.
Institutional review board statement: This case report was exempted from the Institutional Review Board standards at Hospital Sultanah Bahiyah.
Informed consent statement: The patients involved gave their verbal informed consent to this case report.
Conflict-of-interest statement: All authors have no conflict of interest in this case study.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Bee-Lian Khaw, MD, MS (ORL-HNS), ORL Specialist, Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Sultanah Bahiyah, KM6, Jalan Langgar, 05460 Alor Setar, Kedah, Malaysia. angelian_76@yahoo.co.uk
Telephone: +60-47407853 Fax: +60-47407335
Received: April 21, 2016
Peer-review started: April 22, 2016
First decision: July 5, 2016
Revised: August 1, 2016
Accepted: August 27, 2016
Article in press: August 29, 2016
Published online: November 16, 2016
Core Tip

Core tip: Accidental fish bone ingestion is very common but the complication of migrating fish bone into the neck spaces causing abscess and adjacent important structures of the neck alarm us the need for earlier detection and intervention. This case report represents 3 cases of foreign body ingestion which has a life threatening complications but successfully treated and factors that lead to these complications identified.