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Sigmoid perforation caused by dentures-A rare case report.
Mariya Abdullah1, Jason Cui1, Rasika Hendaheva1
1Caboolture Public Hospital, Queensland, 4510, Australia.
International Journal of Surgery Case Reports
|November 12, 2017
Summary
An elderly male experienced an acute abdomen after accidentally swallowing dentures. A CT scan revealed a sigmoid colon perforation near the ingested denture, highlighting a rare gastrointestinal complication.
Area of Science:
- Gastroenterology
- Emergency Medicine
- Radiology
Background:
- Accidental ingestion of foreign bodies can lead to serious intra-abdominal complications.
- Gastrointestinal perforations are a significant cause of acute abdominal pain, particularly in the elderly.
Purpose of the Study:
- To report a rare case of sigmoid colon perforation secondary to accidental denture ingestion.
- To emphasize the diagnostic utility of computed tomography (CT) in identifying foreign bodies causing gastrointestinal injury.
Main Methods:
- A case report of an elderly male patient presenting with acute abdomen.
- Review of patient history and physical examination findings.
- Performance of computed tomography (CT) scan of the abdomen and pelvis for diagnosis.
Main Results:
- The CT scan identified a perforation in the sigmoid colon.
- The perforation site was adjacent to the radiopaque foreign body, identified as a swallowed denture.
- The patient presented with symptoms consistent with acute abdomen.
Conclusions:
- Accidental denture ingestion can result in severe gastrointestinal complications like colon perforation.
- CT imaging is crucial for diagnosing foreign body-induced perforations in the emergency setting.
- Prompt diagnosis and surgical intervention are vital for managing such rare but critical conditions.

