Painful swelling of lateral neck and submandibular area in a girl

Eleni Koutrouveli, Rodanthi Sfakiotaki, Chrysoula Koumanidou


 An 8-years old girl presented at the Emergency Department with a painful swelling of the left lateral neck and submandibular area. The swelling had started 15 days earlier and worsened gradually. Five days after the initial symptoms, the patient was examined by a paediatrician and was started on antibiotics for suspected lymphadenopathy. Following a 10 days course of antibiotic therapy, she presented at our hospital for persisting symptoms and a palpable neck swelling. A soft tissue neck radiograph was obtained, which was initially reported as normal. Subsequently, an ultrasound (US) examination was performed, which revealed the full spectrum of findings and established the diagnosis (Figs. 1-4).


foreign body; fish bone; oesophagus; thyroidal abscess; unilateral thyroiditis

Full Text:




Stone DB, Scordino DJ. Foreign Body Removal Emergency Medicine Chapter 36. Published April 8, 2015.

Kameda T. Detection of a fish bone in the cervical esophagus using point-of-care ultrasound. Crit Ultrasound J 2015; 7(Suppl 1): A22.

Al-Shukry SM. A swallowed fishbone penetrating the oesophagus into the sternomastoid muscle. J Sci Res Med Sci 2003; 5(1-2): 51-52.

Rooks V. Esophageal Foreign Body Imaging: Karani J, Chief Editor Updated Nov 1, 2017.

DePietro J, Devaiah A. Endoscopic removal of esophageal foreign body and drainage of thyroid abscess. Am J Otolaryngol 2013; (2): 151-153.

Bathla G, Teo LL, Dhanda S. Pictorial essay: Complications of a swallowed fish bone. Indian J Radiol Imaging 2011; 21(1): 63-68.

Wu E, Huang L, Zhou Y, et al. Migratory fish bone in the thyroid gland: case report and literature review. Case Rep Med 2018; 2018: 7345723.

Chi H, Lee YJ, Chiu NC, et al. Acute suppurative thyroiditis in children. Pediatr Infect Dis J 2002; 21(5): 384-387.

Parida PK, Gopalakrishnan S, Saxena SK. Pediatric recurrent acute suppurative thyroiditis of third branchial arch origin--our experience in 17 cases. Int J Pediatr Otorhinolaryngol 2014; 78(11): 1953-1957.



  • There are currently no refbacks.