The greater part of foreign bodies (80%) pass through the gastrointestinal tract without difficulties, but 20% can obstruct the lumen, requiring endoscopic or surgical removal (1% of cases). As the esophagus is a narrow portion of the gastrointestinal tract, 28-68% objects are found in this region5. The symptoms depend on the location. Dysphagia, odynophagia and salivation suggest esophageal foreign body4. It can also present chest pain, cough, dyspnea, wheezing or stridor. In more severe cases, particularly in large or sharp foreign bodies, there may be intense pain, vomiting, refusal to eat, saliva ink with blood or shock1. A medical review of database present several accidents involving foreign bodies ingestion, including food-bolus impactions, coins, fish bones, dental prostheses, chicken bones, iron slices, lighters, little metallic foreign bodies, toothbrushes, needles, and spoons5, but no reports involving the ingestion of whole fish. Impaction events with fish bones includes 12.6% of the accidents, the third highest in incidence5. As the majority of the bodies are radiopaque, the diagnosis can easily be done with plain radiography in posteroanterior and lateral projections. Endoscopy and contrasted study are needed in the case of radiotransparent objects. In all radiological exams it must be looked for signs of subcutaneous emphysema, which indicates drilling3. The treatment of choice is the endoscopic removal of the foreign body, which is successful with little or no complications for the patient2. The surgical treatment should be performed when endoscopic management is not possible to solve the problem, or if there is impairment of progression in the gastrointestinal tract or complications such as perforation, obstruction and bleeding2,3.