One of the most common consultations requested by the accident and emergency department of an otorhinolar-yngologist is for a foreign body ingestion. Fish bones are the most common foreign body ingested by adults, and most of them are found lodged in the oropharynx. Many of them can be identified and retrieved as an outpatient consultation. In symptomatic cases where the initial clinical findings are negative, other modalities of investigation, such as an esophagogastroduodenoscopy and imaging, should be considered. Patients with a history of foreign body ingestion should be carefully attended to prevent the development of serious complications. To highlight the potential dangers of this condition, we present a case of retained fish bone that presented as a painful subcutaneous neck mass.
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