 This
is a case of a 73 year old who ate fish for dinner and felt she
swallowed a bone. The "chocking" sensation did not clear
and even worsened as the night progresses. She had no history of
neck trauma..
On lateral X-Ray three
abnormalities were found:
- A fractured cervical spine.
- A fish bone foreign body.
- Air between the esophagus
and cervical spine.
The air was felt to represent a
perforation caused by the fish bone. Emergency endoscopy was
performed, with great care given to the neck.
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 The
fish bone was removed with an endoscope, but the patient did not have a perforation, but
instead had a Zenker's Diverticulum. The diverticulum is shown in
a post-operative barium swallow as a large pouch like accumulation of
barium in the neck.
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The Following Websites are
Searched: www.entusa.com,
www.waent.org
,
www.ear-anatomy.com,
www.occupationalhearingloss.com,
www.cme-usa.org and
www.tobacco-facts.info
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