異物誤食入消化道並非少見，大都可自行排出體外。因誤吞魚刺而造成食道穿孔並不多見。我們報告一例64歲男性病患，因誤吞魚刺造成食道穿透，臨床上以胸部不適及吞嚥疼痛表現。胃鏡檢查時，當內視鏡進入時只發現兩個潰瘍病灶在食道中段，但回抽內視鏡時，則發現有一小段魚刺從其中之一的食道潰瘍凸出。之後經由內視鏡以切片夾取出，且禁食以靜脈輸液及抗生素成功治療此病患。

A 64-year-old male presenting with retrosternal discomfort and odynophagia due to swallowing of a fish bone resulting in esophageal penetration is reported herein. A small segment of a fish bone protruding from an ulcerative lesion in the middle esophagus was noted while withdrawing the endoscope, but it was not visible during advance of the endoscope through the esophagus. After endoscopic retrieval of the fish bone, conservative treatments including starvation, intravenous fluid and antibiotics were successful for this patient.