Foreign body ingestion is a common presentation but the extraluminal migration of a foreign body is rare. A 46-year-old man presented with protruded sharp swelling left side of neck, X-rays and CT scan of the neck showed a needle migrating from the pyriform fossa to the skin. Carotid angiography was also done to see the relations of foreign body with great vessels. Transcutaneous removal of foreign body was done under general anesthesia. The migrated foreign body was a sewing needle which patient unknowingly swallowed two days back. Migrated ingested foreign bodies from the upper digestive tract have the potential to cause life-threatening complications. Cases of spontaneous expulsion of ingested foreign bodies to the skin of the neck are quite rare.
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