Article Text
Best evidence topic reports
Is CT effective in cases of upper oesophageal fish bone ingestion?
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Reported by Debasis Das, SpR Radiology Checked by Gabby May, Clinical Fellow, Manchester Royal Infirmary Guy’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 …