case_images: PMC6368990_01
case_images: Picture showing penetrating neck injury entry site
case_images: ijo-31-065-g001.jpg
case_images: PMC6368990_01_ijo-31-065-g001.jpg
case_images: F1
case_images: On neck examination, there was an open wound, about 0.5 x 0.5 cm in size, in the lower third anterior aspect of the neck with surrounding neck swelling and tenderness (Fig.1).
case_images: a) X-ray soft tissue neck lateral view showing the radio-opaque foreign body located in the tracheoesophageal party wall at the C6-C7 level with air lucency noted in the prevertebral space. b) CECT scan neck showing radio-dense metallic foreign body located in the trachea-esophageal party wall with air dissection in the subcutaneous plane
case_images: ijo-31-065-g002.jpg
case_images: PMC6368990_01_ijo-31-065-g002.jpg
case_images: F2
case_images: A soft tissue neck (STN) lateral view revealed a radiopaque foreign body shadow at the level of the C6-C7 vertebral body level (Fig.2a). This was further confirmed with contrast enhanced computed tomography (CECT) of the neck with fine 1-mm cuts, which also showed that the radio-dense foreign body lodged in the tracheoesophageal party wall at the level of second and third tracheal rings, corresponding to the C7 vertebral body (Fig.2b).
case_images: a) Image showing neck exploration by extending tracheostomy skin incision superiorly and tracheal entry site of the foreign body (arrow).  b) Removed metallic foreign body
case_images: ijo-31-065-g003.jpg
case_images: PMC6368990_01_ijo-31-065-g003.jpg
case_images: F3
case_images: The small entry point was found on the anterior wall of the second tracheal ring (Fig.3a). The foreign body was gently removed, avoiding accidental slippage into the distal airway (Fig.3b). 