A Case of Accidental Ingestion of a Partial Denture, Treated by Thoracotomic Esophageal Foreign Body Removal

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  • 開胸食道異物除去術を施行した有鈎義歯誤飲の１例

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Abstract

<p>The patient was a 79-year-old male, a resident of a nursing home. He had presented to his previous doctor with the complaint of dysphagia. Thoracic CT revealed a denture in the thoracic esophagus, therefore, upper gastrointestinal endoscopy was performed. Since the clasp of the denture was impacted in the esophageal mucosa forming an ulcer, the patient was referred to our hospital. Our examination at admission revealed that the patient was in good general condition, but that the acute inflammatory reactant levels were elevated. As the presence of mediastinitis could not be definitively ruled out by computed tomography, and we concluded that endoscopic removal would be associated with a high risk of injury to the esophageal wall, we planned emergent surgery on the day after the patient’s admission to our hospital. We performed a right thoracotomy, and identified the denture from outside the esophageal wall; we made an incision on the esophageal wall and removed the denture, which measured about 52 mm in diameter. There was no apparent evidence of perforation or mediastinitis. We closed the esophageal incision by simple suturing, placed a drainage tube, and closed the chest. There are few reports of treatment of an impacted denture with clasps in the esophagus by removal of the foreign body alone. We report a case that showed a good course following removal alone of an esophageal foreign body and simple closure of the esophagus; our patient showed no evidence of perforation or mediastinitis.</p>

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