Neuroblastoma is the most common extracranial solid tumor in children. A 10-month-old boy was presented with neuroblastoma misdiagnosis of family violence bruised and swollen right periorbital region with no obvious proptosis or abnormal eye movements. Neuroblastoma was confirmed with histopathology and bone marrow. After treatment, the symptoms were resolved.

Fishbone perforation, a severe complication causing damage to nearby organs, is difficult to diagnose because the patient and family cannot remember the history of fishbone ingestion exactly. A detailed history of eating, as well as a thorough physical examination and diagnostic imaging, are needed to make an accurate diagnosis.