Misdiagnosis of Migratory Foreign Body in the Neck and Literature Review
QIU Jiatai
HE Xiaopo
Abstract：Objective To investigate the causes of misdiagnosis,treatment methods and preventive measures of mi-gratory foreign body in the neck.Methods The clinical data of a patient with misdiagnosed migratory foreign body and infec-tion in the neck in 2023 were retrospectively analyzed.Results The patient developed persistent neck swelling and pain after swallowing fish bone 10 d before.The diagnosis was not clear at the first visit to another hospital,and infection was considered at the second visit to another hospital;however,the effect was not good after anti-infection treatment.After admission,cervi-cal exploration and foreign body removal were performed to confirm the diagnosis of migratory foreign body and infection in the neck.The misdiagnosis lasted 8 d.After diagnosis,the patient recovered following treatment via external cervical approach to remove the foreign body,abscess drainage,anti-infection treatment and nasal feeding diet.Conclusion Clinicians should improve the awareness of migratory foreign bodies in the neck.For patients with a history of swallowing foreign bodies and neg-ative endoscopy findings,but persistent neck symptoms,foreign body migration should be highly suspected.Timely CT scan or ultrasound can prevent misdiagnosis and the incidence of serious complications.
Keywords：Foreign body migrationInfectionMisdiagnosisRetropharyngeal abscessDrainageUltrasonographyNeck injuries
Publication Date：2024-12-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 15-18 )