421 Migratory Foreign Bodies in Theaero-Digestive Tract: The Importance of Computerised Tomography (CT) Imaging

Abstract Aim We discuss this case to stress the role of computerized tomography imaging in diagnosis foreign bodies upper aerodigestive tract and propose an algorithm for management such cases. Case Presentation A 35-year-old male presented with dysphagia swelling left lower part neck 2 days. He gave a history suspected fish bone ingestion one week prior, followed by pain discomfort throat. Patient underwent gastrointestinal endoscopy, which was inconclusive. The patient reassured sent home. Examination showed 3 x 4cm soft tender neck. Computed heterogeneously enhancing tissue density multiple air shadows para-pharyngeal space [fig 1]. Long, narrow, calcified lesion present midst density, be 2]. Vertical incision made along anterior border sternocleidomastoid muscle 20 ml pus drained. Carotid sheath identified swollen, surrounded extensive granulation tissue. Fish found adjacent thyroid lobe [Fig 3], removed - it serrated four cm length 4]. Repeat endoscopy barium meal no leak. discharged oral antibiotics two weeks further follow up. Conclusions Accidental is very common situation otarhynological emergencies. CT rare instances like perforation migration can prevent serious life-threatening complications.