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A case of a migratory fish bone in the submandibular gland Toyoaki Ohbuchi 1 1Department of Otorhinolaryngology,School of Medicine,University of Occupational and Environmental Health,Kitakyushu pp.243-246
Published Date 2007/3/20
DOI https://doi.org/10.11477/mf.1411100840
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□Abstract

 A 78-year-old woman was complaining of painful swallowing after she had eaten a fish. No foreign body was found upon physical examinations, pharyngolaryngeal fiberscopy, or X-rays. However, 2 weeks later, she showed a right-sided submandibular painful swelling, and referred to our department 27 days after onset. CT and CT sialography revealed that a needle-like high-density material staying in the submandibular gland but was separated from the Wharton's duct. A migratory fish bone was suspected, and the patient underwent resection of the gland 33 days after onset. An 18mm-long fish bone was found in the surgical specimen. Her clinical course was uneventful, and she was discharged on the 7th postoperative day. We should be aware that a foreign body penetrating oral or pharyngeal mucosa may migrate to a distant site of the neck.


Copyright © 2007, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1316 印刷版ISSN 0914-3491 医学書院

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