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Misdiagnosis of thyroid penetration caused by fishbone ingestion: a case report and literature review
BACKGROUND: Foreign body ingestion is a common occurrence. However, thyroid penetrating injury caused by fishbone migration is rare. CASE DESCRIPTION: In this study, we present a rare misdiagnosed case of a fishbone fixed in the thyroid with a negative diagnosis on laryngoscopy examination. A 52-yea...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
AME Publishing Company
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9906094/ https://www.ncbi.nlm.nih.gov/pubmed/36761481 http://dx.doi.org/10.21037/gs-22-402 |
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author | Sun, Yiceng Yuan, Yuquan Yin, Tingjie Chen, Hongdan Yin, Supeng Yang, Zeyu Zhang, Fan |
author_facet | Sun, Yiceng Yuan, Yuquan Yin, Tingjie Chen, Hongdan Yin, Supeng Yang, Zeyu Zhang, Fan |
author_sort | Sun, Yiceng |
collection | PubMed |
description | BACKGROUND: Foreign body ingestion is a common occurrence. However, thyroid penetrating injury caused by fishbone migration is rare. CASE DESCRIPTION: In this study, we present a rare misdiagnosed case of a fishbone fixed in the thyroid with a negative diagnosis on laryngoscopy examination. A 52-year-old woman experienced severe and persistent left anterior cervical pain when eating fish. Laryngoscopic imaging at an external hospital, revealed a cyst with a maximum length of 2 cm on the epiglottis, and epiglottic cyst resection under a laryngoscope was performed. The pain was not relieved, and the patient was referred to our hospital. Computed tomography and ultrasound examinations showed a sloping foreign body with a length of approximately 2.5 cm from top to bottom in the left lobe of the thyroid gland. The possibility of a penetrating fishbone injury was considered, and the foreign body was surgically removed. Postoperative drainage, fasting, and antibiotics were prescribed for 3 days, and then the patient was discharged. Follow-ups for 40 days suggested that she had recovered well without complications. CONCLUSIONS: The presence of a migratory fishbone should be considered when a patient has a history of fishbone ingestion but laryngoscopy or esophagoscopy assessment of foreign body ingestion is negative. |
format | Online Article Text |
id | pubmed-9906094 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | AME Publishing Company |
record_format | MEDLINE/PubMed |
spelling | pubmed-99060942023-02-08 Misdiagnosis of thyroid penetration caused by fishbone ingestion: a case report and literature review Sun, Yiceng Yuan, Yuquan Yin, Tingjie Chen, Hongdan Yin, Supeng Yang, Zeyu Zhang, Fan Gland Surg Case Report BACKGROUND: Foreign body ingestion is a common occurrence. However, thyroid penetrating injury caused by fishbone migration is rare. CASE DESCRIPTION: In this study, we present a rare misdiagnosed case of a fishbone fixed in the thyroid with a negative diagnosis on laryngoscopy examination. A 52-year-old woman experienced severe and persistent left anterior cervical pain when eating fish. Laryngoscopic imaging at an external hospital, revealed a cyst with a maximum length of 2 cm on the epiglottis, and epiglottic cyst resection under a laryngoscope was performed. The pain was not relieved, and the patient was referred to our hospital. Computed tomography and ultrasound examinations showed a sloping foreign body with a length of approximately 2.5 cm from top to bottom in the left lobe of the thyroid gland. The possibility of a penetrating fishbone injury was considered, and the foreign body was surgically removed. Postoperative drainage, fasting, and antibiotics were prescribed for 3 days, and then the patient was discharged. Follow-ups for 40 days suggested that she had recovered well without complications. CONCLUSIONS: The presence of a migratory fishbone should be considered when a patient has a history of fishbone ingestion but laryngoscopy or esophagoscopy assessment of foreign body ingestion is negative. AME Publishing Company 2023-01-10 2023-01-01 /pmc/articles/PMC9906094/ /pubmed/36761481 http://dx.doi.org/10.21037/gs-22-402 Text en 2023 Gland Surgery. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) . |
spellingShingle | Case Report Sun, Yiceng Yuan, Yuquan Yin, Tingjie Chen, Hongdan Yin, Supeng Yang, Zeyu Zhang, Fan Misdiagnosis of thyroid penetration caused by fishbone ingestion: a case report and literature review |
title | Misdiagnosis of thyroid penetration caused by fishbone ingestion: a case report and literature review |
title_full | Misdiagnosis of thyroid penetration caused by fishbone ingestion: a case report and literature review |
title_fullStr | Misdiagnosis of thyroid penetration caused by fishbone ingestion: a case report and literature review |
title_full_unstemmed | Misdiagnosis of thyroid penetration caused by fishbone ingestion: a case report and literature review |
title_short | Misdiagnosis of thyroid penetration caused by fishbone ingestion: a case report and literature review |
title_sort | misdiagnosis of thyroid penetration caused by fishbone ingestion: a case report and literature review |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9906094/ https://www.ncbi.nlm.nih.gov/pubmed/36761481 http://dx.doi.org/10.21037/gs-22-402 |
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