RESUMEN
Foreign body ingestion is a commonly encountered emergency in otolaryngology practice. The extraluminal migration of esophageal foreign bodies is extremely rare. Although case reports of different foreign bodies migrating out of esophagus are well documented in the literature, potentially life threatening complications are possible due to this migration, especially suppurative and vascular complications such as aorta oesophageal fistula, subclavianesophageal fistula and retropharyngeal abscess and that's why removal is essential. This paper reports a very rare presentation of migrating esophageal foreign body that migrates posteriorly to the prevertebral muscles reaching vertebral bodies level, and we report the use of Intraoperative fluoroscopy guidance using metallic probe to locate the exact position of the foreign body during neck exploration