TY  - JOUR
A1  - Hendricks, Anne
A1  - Meir, Michael
A1  - Hankir, Mohammed
A1  - Lenschow, Christina
A1  - Germer, Christoph-Thomas
A1  - Schneider, Michael
A1  - Wiegering, Armin
A1  - Schlegel, Nicolas
T1  - Suppurative thyroiditis caused by ingested fish bone in the thyroid gland: a case report on its diagnostics and surgical therapy
JF  - BMC Surgery
N2  - Background
Accidental ingestion of fish bone is a common cause of otolaryngological emergency. Migration of the ingested bone into the thyroid gland, however, occurs very rarely. The associated clinical presentation, symptoms and duration of discomfort are also highly variable between patients and can be diagnostically challenging.
Case presentation
Here, we report the case of a 71-year-old female patient presenting with an ingested fish bone that migrated into the right thyroid lobe as a rare cause of suppurative thyroiditis with the clinical features of sepsis. We outline the diagnostic approach, peri- and intraoperative management as well as complications. It is proposed that besides endoscopy, imaging methods such as ultrasound or computed tomography may be necessary to verify the diagnosis and location of an ingested fish bone. Prompt surgical removal of the foreign body and resection of the infectious focus is recommended to minimize the risk of local inflammation, recurrent nerve lesions and septic complications arising from the spread of infection.
Conclusion
Fish bone migration into the thyroid gland is an extremely rare event, the successful detection and surgical management of which can be achieved through a careful interdisciplinary approach.
KW  - fish bone
KW  - foreign body ingestion
KW  - thyroid gland
KW  - thyroiditis
KW  - case report
KW  - surgical management
Y1  - 2022
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-299775
VL  - 22
IS  - 1
ER  -