Accidental ingestion of fish bone followed by impaction within the upper aerodigestive tract is commonly seen in the practice of otorhinolaryngology (ORL) in Asia. When an impacted fish bone is not removed in a timely manner, a relatively unusual phenomenon of a migrating fish bone may occur leading to complications. We hereby present a case of migrating fish bone in a 42-year-old Chinese gentleman, which was complicated by an anterior neck abscess. He presented with the chief complaint of an anterior neck swelling associated with pus discharge and a preceding history of fish bone ingestion 3 weeks ago. Computed tomography (CT) scan of the neck revealed an anterior neck subcutaneous collection with a linear hyperdense foreign body seen within it. He subsequently underwent neck exploration surgery whereby the collection was drained and a long sharp serrated fish bone from within the collection was removed.
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