• Athierah Muhammad, Geng Ju Tuang, Farah Dayana Zahedi, and Nik Roslina Nik Hussin.
• Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Selayang, Batu Caves, Selangor, Malaysia.
• J Emerg Med. 2021 Jul 1; 61 (1): e4-e6.

BackgroundFishbone ingestion represents a common cause for emergency department (ED) referral. In the majority of cases, an observed fishbone can be easily retrieved in the clinic setting. An impacted fishbone in the throat, albeit uncommon, carries potential risks of life-threatening events. Unusual complications caused by a migrated fishbone, including deep neck abscess, airway obstruction, and major vessels injury, are greatly influenced by the type of ingested fishbone and time between onset and presentation.Case ReportHere we report an unusual case of surgical subcutaneous emphysema after multiple attempts of purging to remove an ingested fishbone. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Fishbone foreign body is a common presentation to the ED. A thorough history and examination for the migratory foreign body is essential, as the complications are consequential.Copyright © 2021 Elsevier Inc. All rights reserved.

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