AI Article Synopsis

  • - Foreign body ingestion is common, but large dentures can lead to serious gastrointestinal injuries, including perforation, which is rare but concerning.
  • - A 64-year-old male with a history of medical issues ingested a large denture, presenting with chest and abdominal pain, and was found to have a 70-mm denture stuck in his esophagus.
  • - Endoscopic removal of the denture was successful, the patient had a good recovery with no complications, and the case emphasizes the effectiveness of endoscopy while suggesting surgery for cases where endoscopy isn't feasible.

Article Abstract

Rationale: Foreign body (FB) ingestion is a common clinical emergency, although in most cases, the FB can pass safely through the entire gastrointestinal tract without causing any damage. However, ingestion of large dentures is very rare and alarming, as it can threaten the intestinal mucosa and cause perforation of the gastrointestinal tract, among other complications.

Patient Concerns: A 64-year-old Chinese male was referred to our hospital for removal of a FB, which was a large denture. Clinical symptoms included chest and upper abdominal pain. He had no cough or dyspnea. Medical history included a recent cerebral infarction, craniocerebral surgery, and being bedridden for a long term.

Diagnoses: We initially suspected a single and smooth denture, complicated by pharyngeal and esophageal mucosal injury. Radiographic examination however showed a 70-mm long opaque object located in the middle and upper esophagus, close to the trachea and aorta.

Interventions: Multiple dentures and metal hooks were removed via endoscopy using a net, grasping forceps, and rubber jacket.

Outcomes: The patient recovered well and experienced no postoperative complications. The patient was discharged 5 days after endoscopic therapy.

Lessons: Our case showed that endoscopy was effective for the retrieval of an esophageal FB. For sharp FBs, the use of a net and rubber jacket is a good choice. However, we advocate for appropriate surgery in patients in whom endoscopy is not possible after an accurate diagnosis or those with severe complications.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10578667PMC
http://dx.doi.org/10.1097/MD.0000000000035426DOI Listing

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