A 6-year-old boy was examined in out patient clinic on October 25, 1967 with chief complaint of odynophagia. He has swallowed a fish bone and removal of foreign body was tried with manual manipulation by a layman but the fish bone was not removed. A direct laryngoscopy revealed a lacerated deep wound surrounded with grayish exudation in diameter off 3 mm but fish bone was not identified. The patient had developed dysphagia, dyspnea, fever and disturbance of neck movement. He was admitted to the hospital on November 10, 1967. On the day of admission a X-ray study of the neck was made, which revealed a sharp fish bone in the retropharyngeal space at the level of the third to fourth cervical spine. Under general anesthesia the pharynx was exposed with Davis mouth gag and bean sized granulomatous mass was removed from the posterior hypopharyngeal wall and a fish bone was removed with a forcep from the retropharyngeal space beneath the granulomatous mass.