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Oesophageal perforation as a complication of ingested partial denture
Himansu Shekhar Mohanty1, Kapil Shirodkar1, Aruna R Patil1
1Department of Radiology, Apollo Hospital, Bangalore, India.
BJR Case Reports
|November 22, 2018
Summary
Accidental ingestion of a partial denture caused severe esophageal perforation and breathing difficulty. Emergency thoracoscopic removal and repair led to a full recovery, highlighting the need for prompt intervention.
Area of Science:
- Gastroenterology
- Thoracic Surgery
- Emergency Medicine
Background:
- Accidental foreign body ingestion, particularly of dentures, can lead to severe gastrointestinal complications.
- Dysphagia and chest pain are critical symptoms warranting immediate investigation.
Observation:
- A 53-year-old female presented with severe dysphagia and chest pain after swallowing her partial denture.
- Radiographic and CT imaging revealed esophageal perforation by two metallic denture components, causing pneumomediastinum and pneumothorax.
Findings:
- Esophageal perforation and subsequent pneumomediastinum/pneumothorax were confirmed.
- Emergency thoracoscopic foreign body removal and esophageal tear repair were successfully performed.
Implications:
- Prompt diagnosis and emergency surgical intervention are crucial for managing esophageal perforation due to foreign body ingestion.
- Thoracoscopic approaches offer an effective minimally invasive option for foreign body retrieval and esophageal repair.
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