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A missing denture's misadventure!

I Samarasam1, S Chandran, V Shukla

  • 1Department of General Surgery (Upper GI Unit), Christian Medical College and Hospital, Vellore, Tamilnadu, India. inians@cmcvellore.ac.in

Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus
|December 21, 2005
PubMed
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A rare tracheoesophageal fistula developed in a 51-year-old man after swallowing a denture. Diagnosis was delayed due to the difficulty in detecting non-metallic dental material on imaging.

Area of Science:

  • Gastroenterology
  • Thoracic Surgery
  • Medical Imaging

Background:

  • Tracheoesophageal fistulas (TEF) are rare, especially in adults.
  • Acquired TEF can result from trauma, malignancy, or iatrogenic causes.
  • Swallowed foreign bodies, particularly non-metallic dental prostheses, are an uncommon etiology.

Observation:

  • A 51-year-old male presented with symptoms suggestive of a TEF.
  • The patient had a history of accidentally swallowing a complete denture.
  • Radiological evaluation was challenging due to the absence of metallic components in the denture.

Findings:

  • The patient was diagnosed with a late-onset, benign tracheoesophageal fistula.
  • Extensive peri-esophageal sepsis and fibrosis necessitated a subtotal esophagectomy.

Related Experiment Videos

  • A cervical esophagogastric anastomosis and an intercostal muscle flap for tracheal defect closure were performed.

    • Implications:

    • This case underscores the diagnostic challenges posed by non-metallic swallowed foreign bodies.
    • Delayed diagnosis of swallowed dentures can lead to severe complications like TEF.
    • Surgical management involving esophagectomy and flap reconstruction may be required for complex cases.