A 42-year-old male came to the Emergency Department reporting the sensation of a pharyngeal foreign body associated with dysphagia, fever and cervical swelling over the previous 3 days. A cervical-thoracic computed tomography scan revealed a foreign body perforating and going through the cervical esophagus, reaching the thyroid gland, with extraluminal and intrathyroid gas bubbles; reactive locoregional lymphadenopathies were also observed (Fig. 1).
A left lateral cervicotomy revealed a double cervical esophageal perforation (approximately 3 cm) on the anterior and posterior sides, traversed by a foreign body (chicken bone) that penetrated the thyroid (Fig. 2). We performed left thyroid lobectomy, primary double-layer suture of both perforations, and a local drain tube was placed.