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Case of the Week 502


What is the most likely diagnosis?

  • 47 year-old feels like "something is stuck" in throat



Lateral Radiograph of the Neck

  1. Calcified Stylohyoid Ligament
  2. Esophageal Carcinoma
  3. Degenerative Disc Disease
  4. Chicken Bone Perforation
  5. Epiglottitis

Additional Image-CT of the Neck

 

Additional Images

 

Axial CT of the Neck


Answer:

 

4. Chicken Bone Perforation

 

More (Click Discussion Tab)

 

 

Chicken Bone Perforation

General Considerations

  • Overall, most ingested foreign bodies occur in children
  • Perforation occurs in less than 1% of ingested foreign bodies
  • Known agents include chicken and fish bones, toothpicks, dentures and cocktail sticks
  • Blunt foreign bodies may also perforate through a slower process of pressure necrosis of the bowel wall
  • Most patients don’t remember ingesting the foreign body
     

MORE . . .

 


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This Week

47 year-old feels like "something is stuck" in throat
 
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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.