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Lost Denture Found in Esophagus After a Decade: A Rare Case Report
Raveena Karthikeyan1, Chandramohan S M2,3, Sakthivel Harikrishnan4
1Surgery, Madras Medical College, Chennai, IND.
A rare case of a denture lodged in the esophagus for 13 years highlights the importance of considering long-term foreign body impaction, even when asymptomatic initially. This unusual presentation required surgical intervention for removal.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
- Esophageal Diseases
Background:
- Accidental ingestion of dentures is a known cause of esophageal foreign bodies, particularly in the elderly.
- Dentures commonly lodge in the esophagus due to their size, rigidity, and sharp edges.
Observation:
- A 45-year-old female presented with six months of progressive dysphagia.
- Endoscopy revealed a denture impacted in the mid-esophagus.
- The patient had lost the denture 13 years prior and was unaware of its ingestion.
Findings:
- Surgical removal of the impacted denture via right thoracotomy and esophagotomy was performed.
- The esophagotomy site was reinforced using a vascularized intercostal muscle flap.
Implications:
- This case underscores the possibility of long-term, asymptomatic denture impaction in the esophagus.
- It highlights the need for thorough patient history and advanced imaging in cases of unexplained dysphagia.
- Surgical management with flap reinforcement offers a viable solution for complex esophageal foreign body removal.
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