Academy of Medical Sciences of I.R. Iran Archives of Iranian Medicine 1029-2977 16 9 2013 09 01 Fish bone Ingestion: A Case Report of a Unique Route of Extraction 0 0 EN Navid Nourizadeh Shirin Irani Amirhossein Soroori Journal Article Foreign body ingestion is a common problem in otolaryngology. In this case report, we present a patient with fish bone ingestion with a unique route of extraction. A 50-year-old woman was presented with a complaint of odynophagia while eating fish. Rigid laryngoscopy revealed nothing except ecchymosis on the right pyriform sinus. We performed an axial neck computed tomography (CT) scan and found the fish- bone at the retropharyngeal space. After three days there was a tender bulging in the neck. We extracted the fish bone thorough a small incision on the neck. We recommend the performance of CT scan in patients with suspected hypopharyngeal and esophageal sharp foreign body impaction.