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Delayed dysphagia following foreign body swallowing: case report
Gholam Reza Mohajeri1, Hamid Talebzadeh1
1Department of Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Gastroenterology and Hepatology From Bed to Bench
|October 18, 2021
Summary
Foreign body ingestion, particularly dentures in older adults, can lead to chronic esophageal retention. Prompt diagnosis and removal of these retained foreign bodies are crucial, especially in the elderly, to prevent complications.
Area of Science:
- Gastroenterology
- Otolaryngology
- Emergency Medicine
Background:
- Foreign body ingestion is a common occurrence across all age groups.
- In elderly individuals, the ingestion of dentures represents a significant portion of esophageal foreign body cases.
- Retained esophageal foreign bodies can lead to prolonged symptoms and potential complications.
Observation:
- A case is presented of a 62-year-old male experiencing dysphagia for five years.
- Endoscopic examination revealed a foreign body lodged in the esophagus.
- This case highlights the infrequent occurrence of long-term foreign body retention in the esophagus.
Findings:
- The patient's dysphagia was attributed to a chronically retained esophageal foreign body, specifically dentures.
- The duration of retention (five years) is notably long, with limited similar reports in medical literature.
- Prompt extraction of foreign bodies is generally recommended following diagnosis.
Implications:
- Chronically retained foreign bodies in the esophagus pose a risk of serious complications.
- Early diagnosis and intervention are essential for managing esophageal foreign bodies, particularly in the elderly population.
- This case underscores the importance of considering long-term retention in the differential diagnosis of persistent dysphagia.
