A Case of Esophageal Perforation Caused by Swallowing a Clasp Denture

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  • 6cmの有鈎義歯誤嚥による食道穿孔の1例
  • 症例 6cmの有鈎義歯誤嚥による食道穿孔の1例
  • ショウレイ 6cm ノ ユウコウギシ ゴエン ニ ヨル ショクドウ センコウ ノ 1レイ

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A 55-year-old man who lived at a nursing-care facility for the mentally handicapped visited a local hospital for fever and vomiting in April 2012. Chest X-ray showed the incarcerated partial denture with clasp into the esophagus, and cervical and chest computed tomography (CT) revealed mediastinal emphysema around the esophagus. We diagnosed esophageal perforation by a foreign body, so we performed an emergent operation. At first, we tried to remove the clasp denture through a rigid scope ; however, although it moved from the thoracic esophagus, but became stuck in the cervical esophagus. Secondly, he underwent surgery to remove it using a cervical incision, to insert drain tubes into the bilateral mediastinal space, and for a tracheostomy and a enterostomy.<BR>Although it is possible to remove a foreign body from the esophagus by elimination spontaneously or by esophageal endoscope in some cases, it is very difficult to remove a partial denture with clasp.

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