Navigation guided removal of a retropharyngeal migrated fish bone into the foramen transversarium - A case report

Background: Fish bone ingestion causing esophageal perforation and retropharyngeal migration is a rare problem presenting to a spine surgeon. Case: A 58-year-old female presented with complaints of odynophagia following ingestion of fish. Rigid laryngoscopy and esophageal endoscopy showed esophageal...

Full description

Saved in:
Bibliographic Details
Main Authors: Praveen R. Iyer, Karthik Ramachandran, Sham Sundar Y, Ajoy Prasad Shetty, Shanmuganathan Rajasekaran
Format: Article
Language:English
Published: Elsevier 2025-08-01
Series:Journal of Orthopaedic Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2773157X25000657
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849222506906386432
author Praveen R. Iyer
Karthik Ramachandran
Sham Sundar Y
Ajoy Prasad Shetty
Shanmuganathan Rajasekaran
author_facet Praveen R. Iyer
Karthik Ramachandran
Sham Sundar Y
Ajoy Prasad Shetty
Shanmuganathan Rajasekaran
author_sort Praveen R. Iyer
collection DOAJ
description Background: Fish bone ingestion causing esophageal perforation and retropharyngeal migration is a rare problem presenting to a spine surgeon. Case: A 58-year-old female presented with complaints of odynophagia following ingestion of fish. Rigid laryngoscopy and esophageal endoscopy showed esophageal bulging without any luminal foreign body. X-ray and computed tomography of the neck showed retropharyngeal migration and impaction of the fish bone inside the right foramen transversarium of C3 vertebra. Fish bone was extracted under intra-operative CT navigation through an anterior cervical approach. Conclusion: This report highlights the importance of CT in localizing a migrating retropharyngeal foreign body and navigation aiding in its removal.
format Article
id doaj-art-6a0ee50fec074e9ebd6edbcb4d3b85df
institution Kabale University
issn 2773-157X
language English
publishDate 2025-08-01
publisher Elsevier
record_format Article
series Journal of Orthopaedic Reports
spelling doaj-art-6a0ee50fec074e9ebd6edbcb4d3b85df2025-08-26T04:14:45ZengElsevierJournal of Orthopaedic Reports2773-157X2025-08-014210061310.1016/j.jorep.2025.100613Navigation guided removal of a retropharyngeal migrated fish bone into the foramen transversarium - A case reportPraveen R. Iyer0Karthik Ramachandran1Sham Sundar Y2Ajoy Prasad Shetty3Shanmuganathan Rajasekaran4Department of Spine Surgery, Ganga Medical Centre and Hospitals Pvt. Ltd., Mettupalayam Road, Coimbatore, IndiaDepartment of Spine Surgery, Ganga Medical Centre and Hospitals Pvt. Ltd., Mettupalayam Road, Coimbatore, IndiaDepartment of Spine Surgery, Ganga Medical Centre and Hospitals Pvt. Ltd., Mettupalayam Road, Coimbatore, IndiaCorresponding author. Department of Spine Surgery, Ganga Medical Centre and Hospitals Pvt. Ltd, 313, Mettupalayam Road, Coimbatore, Tamil Nadu, 641043, India.; Department of Spine Surgery, Ganga Medical Centre and Hospitals Pvt. Ltd., Mettupalayam Road, Coimbatore, IndiaDepartment of Spine Surgery, Ganga Medical Centre and Hospitals Pvt. Ltd., Mettupalayam Road, Coimbatore, IndiaBackground: Fish bone ingestion causing esophageal perforation and retropharyngeal migration is a rare problem presenting to a spine surgeon. Case: A 58-year-old female presented with complaints of odynophagia following ingestion of fish. Rigid laryngoscopy and esophageal endoscopy showed esophageal bulging without any luminal foreign body. X-ray and computed tomography of the neck showed retropharyngeal migration and impaction of the fish bone inside the right foramen transversarium of C3 vertebra. Fish bone was extracted under intra-operative CT navigation through an anterior cervical approach. Conclusion: This report highlights the importance of CT in localizing a migrating retropharyngeal foreign body and navigation aiding in its removal.http://www.sciencedirect.com/science/article/pii/S2773157X25000657Navigation guidedFish boneRetropharyngealForamen transversarium
spellingShingle Praveen R. Iyer
Karthik Ramachandran
Sham Sundar Y
Ajoy Prasad Shetty
Shanmuganathan Rajasekaran
Navigation guided removal of a retropharyngeal migrated fish bone into the foramen transversarium - A case report
Journal of Orthopaedic Reports
Navigation guided
Fish bone
Retropharyngeal
Foramen transversarium
title Navigation guided removal of a retropharyngeal migrated fish bone into the foramen transversarium - A case report
title_full Navigation guided removal of a retropharyngeal migrated fish bone into the foramen transversarium - A case report
title_fullStr Navigation guided removal of a retropharyngeal migrated fish bone into the foramen transversarium - A case report
title_full_unstemmed Navigation guided removal of a retropharyngeal migrated fish bone into the foramen transversarium - A case report
title_short Navigation guided removal of a retropharyngeal migrated fish bone into the foramen transversarium - A case report
title_sort navigation guided removal of a retropharyngeal migrated fish bone into the foramen transversarium a case report
topic Navigation guided
Fish bone
Retropharyngeal
Foramen transversarium
url http://www.sciencedirect.com/science/article/pii/S2773157X25000657
work_keys_str_mv AT praveenriyer navigationguidedremovalofaretropharyngealmigratedfishboneintotheforamentransversariumacasereport
AT karthikramachandran navigationguidedremovalofaretropharyngealmigratedfishboneintotheforamentransversariumacasereport
AT shamsundary navigationguidedremovalofaretropharyngealmigratedfishboneintotheforamentransversariumacasereport
AT ajoyprasadshetty navigationguidedremovalofaretropharyngealmigratedfishboneintotheforamentransversariumacasereport
AT shanmuganathanrajasekaran navigationguidedremovalofaretropharyngealmigratedfishboneintotheforamentransversariumacasereport