What's the Diagnosis? By Dr. Sarab Sodhi
Wed, 02/15/2017 - 1:34pm
Diagnosis: Fishbone lodged in oropharynx
- A patient's presentation is typically as above, well appearing with a feeling of something being stuck after eating a meal.
- Plain films are typical the initial imaging choice (sensitivity around 35%) while CT has a sensitivity of 95% for bones
- Plain films have lower sensitivity for organic matter, if available ultrasound can be used.
- Treatment is usually endoscopy for removal with admission for observation in certain cases
- Knght LC, Lesser TH. Fish bones in the throat. Arch Emerg Med. 1989;6 (1): 13-6
- Goh BK, Tan YM, Lin SE et-al. CT in the preoperative diagnosis of fish bone perforation of the gastrointestinal tract. AJR Am J Roentgenol. 2006;187 (3): 710-4.