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Is CT effective in cases of upper oesophageal fish bone ingestion?
  1. Debasis Das, SpR Radiology,
  2. Gabby May, Clinical Fellow, Manchester Royal Infirmary
  1. Guy’s & St Thomas’ Hospitals, London

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    Reported by Debasis Das, SpR RadiologyChecked by Gabby May, Clinical Fellow, Manchester Royal InfirmaryGuy’s & St Thomas’ Hospitals, London

    Three part question

    In [patients who are suspected to have fish or chicken bones impacted in the oesophagus] is [computerised tomography better than plain radiography] at [identifying and localising a foreign body]?

    Clinical scenario

    A 60-year-old man attends the emergency department complaining that a fish bone has got stuck in his throat. Clinical examination rules out impaction within the pharynx so you are concerned that the bone has become impacted …

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