CASE REPORT article
Front. Med.
Sec. Pulmonary Medicine
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1680237
This article is part of the Research TopicCase Reports in Pulmonary Medicine 2025View all 16 articles
Case Report: Hemoptysis Secondary to Fish Bone Migration into the Lung Parenchyma
Provisionally accepted
- Zhuzhou Central Hospital, Zhuzhou, China
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Abstract Hemoptysis caused by transmural migration of ingested fish bones into lung parenchyma is exceptionally rare. A 71-year-old diabetic woman presented with 20-day recurrent hemoptysis, exacerbated in supine position. Three months prior, she experienced fish bone impaction with negative laryngoscopy. On re-presentation, contrast-enhanced CT revealed a foreign body embedded in the right upper lobe surrounded by an inflammatory pseudotumor. Thoracoscopic wedge resection confirmed a fish bone intraparenchymal migration with suppurative abscess. The patient recovered uneventfully and remained asymptomatic at 1-month follow-up. This case highlights that even with negative laryngoscopy, patients with fish bone ingestion history require prompt CT to prevent delayed complications. Thoracoscopic resection is effective for pulmonary migration with inflammatory encapsulation.
Keywords: Fish bone, Hemoptysis, foreign body, Thoracoscopic resection, case report
Received: 05 Aug 2025; Accepted: 13 Oct 2025.
Copyright: © 2025 Chen, LI, Guo, Huang and Tan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Nianxi Tan, tannianxi1981@163.com
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