The 28-year-old angler was holding the six-inch Dover sole he had just caught when he went to kiss it in celebration.
The fisherman swallowed a fish similar to this one pictured.
The 28-year-old fisherman caught the prized fish off a pier in Bournemouth, southern England, and as tradition chose to kiss his prize.
"It was clear that we needed to get the fish out or this patient was not going to survive the short journey to hospital", Ambulance worker Matt Harrison said.
"Utilizing a McGills forceps I could in the long run unstick the tip of the tail and painstakingly, so as not to sever the tail I endeavored to expel it - in spite of the fact that the fish's points and gills were stalling out in transit move down".
Mr Harrison said if he lost the fish or lost grip then he knew there was nothing more they would be able to do.
WIKIPEDIA The offender a Dover sole
A man almost died after a fish became lodged in his throat in a joke gone wrong.
"With the first clinician on scene in less than two minutes, friends directed the crew along the dimly-lit pier, where another friend was already performing CPR, as directed by the calm emergency medical dispatcher on the line from the 999 control room".
An angler in southern England was so happy with his catch that he tried to kiss it.
It caused a complete obstruction of the man's airways and his face turned blue after the incident on Boscombe Pier in Bournemouth, Dorset.
Mr Harrison added the outcome could have been a lot worse.
"I have never attended a more weird incident and don't think I ever will - but we're all so glad the patient has no lasting effects from his cardiac arrest, which could so easily have had such a tragic and devastating outcome".