Thyroid abscess due to ingested fish bone, endoscopic, and surgical approach: a case presentation

Introduction: Thyroid abscesses are a rare septic complication as the thyroid is innately resistant to infection. Case presentation: Here, we present a case of a 49-year-old female with history of accidental ingestion of a fish bone, subsequent perforation of the esophagus, and thyroid abscess formation. Management approach consisted of imaging of the gland followed by upper gastrointestinal endoscopy and surgical thyroidotomy with fish bone extraction. Conclusion: In this case presentation, we highlight the pathophysiology behind thyroid abscess along with review of offered lines of management of this disease from imaging and procedures of diagnosis to treatment approach of source control by both surgical and conservative approach.