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A 48-year-old man came to the emergency department (ED) due to a lump sensation in his throat after dinner. Neither obvious pharyngeal/laryngeal foreign body was seen with flexible nasopharyngoscopy nor apparent oesophageal abnormalities on the lateral neck radiograph (figure 1A). Due to persistent discomfort, he underwent oesophagogastroduodenoscopy without findings of upper gastrointestinal lesions. The patient returned to the ED with worsening odynophagia 5 days after the initial presentation. Another lateral neck radiograph was taken (figure 1B).
What is the most likely diagnosis?
Migratory foreign body.
Calcified parapharyngeal tumour.
A. Migratory foreign body.
Initially, the …
Contributors PY and C-MC were major contributors in writing the manuscript and preparing the figures. PY, W-CL and C-MC were involved in the clinical management of the patient and gave the final approval of the submitted version. PY obtained consent from the patient. C-MC revised the manuscript and the figures.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.
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