A CASE OF DUODENUM PERFORATION FOLLOWING INGESTION OF A PARTIAL DENTURE

DOI Web Site 4 Citations
  • TAKANO Yutaka
    Department of General and Gastroenterological Surgery, Showa University School of Medicine
  • ISHII Hiroshi
    Department of General and Gastroenterological Surgery, Showa University School of Medicine
  • KUSANO Mituo
    Department of General and Gastroenterological Surgery, Showa University School of Medicine
  • KATO Sadaaki
    Department of Surgery, Maruyama Memorial General Hospital
  • MARUYAMA Masanobu
    Department of Surgery, Maruyama Memorial General Hospital
  • FURUKAWA Toshitaka
    Department of Surgery, Maruyama Memorial General Hospital

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Other Title
  • 有鈎義歯誤飲による十二指腸空腸脚穿孔の1例
  • 症例報告 有鈎義歯誤飲による十二指腸空腸脚穿孔の1例
  • ショウレイ ホウコク ユウコウギシ ゴイン ニ ヨル ジュウニシチョウ クウ チョウ キャク センコウ ノ 1レイ

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Abstract

Foreign bodies in the oral cavity such as a denture can be accidentally swallowed with food. Such foreign bodies are spontaneously discharged in most cases and rarely induce complications. We report a case of perforation of the duodenum due to an accidentally swallowed partial denture. An 82-year-old man was seen at a hospital because accidentally swallowing a partialdenture while eatlng the patient was referred to the hospital because the denture was not discharged for 3 days. Abdominal plain X-ray examination showed that the denture was in the upper abdomen. Endoscopic removal was unsuccessful because the denture was impacted around the horizontal part of the duodenum, and an abdominal x-ray examination showed that the denture had not moved. Five days later, the pating underwent laparotomy. There was perforation of the duodenum by metallic hooks of the denture protruding through the wall of the intestine. The perforated site was incised and the denture was removed, with a foreign body remaining in the intestine for a long time, careful management is required considering probable complications such as perforation.

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