| Summary: | Accidental ingestion of foreign bodies is common in ENT practice. However, their
extraluminal migration is rare, with a high risk of infectious or hemorrhagic
complications that can jeopardize the prognosis. We report the case of a 35-year-old
patient who consulted for left postero-lateral cervical pain that appeared 10 days after
accidental ingestion of a foreign body. Examination on admission found a
circumscribed inflammatory posterior cervical swelling. The neck CT scan revealed a
radio-opaque foreign body, measuring 3 cm, located between the muscles of the
nuchal region. An exploratory cervicotomy made it possible to find and extract a fish
bone. Postoperative evolution was simple. Accidental ingestion of foreign bodies is
common in ENT practice. Extraluminal migration is exceptional and should lead to
early exploration and extraction in order to avoid complications that can jeopardize the
prognosis.
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