What is the most likely diagnosis?
- 47 year-old feels like "something is stuck" in throat
Lateral Radiograph of the Neck
- Calcified Stylohyoid Ligament
- Esophageal Carcinoma
- Degenerative Disc Disease
- Chicken Bone Perforation
- Epiglottitis
Additional Image-CT of the Neck
Additional Images
Axial CT of the Neck
Answer:
4. Chicken Bone Perforation
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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