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. 2013 May;7(5):919-20.
doi: 10.7860/JCDR/2013/5337.2976. Epub 2013 Mar 18.

An impacted denture in the oesophagus-an endoscopic or a surgical emergency-a case report

Parvinder Singh  1 , Amritpal Singh, Puneet Kant, B Zonunsanga, Amarjit Singh Kuka
Affiliations

An impacted denture in the oesophagus-an endoscopic or a surgical emergency-a case report

Parvinder Singh et al. J Clin Diagn Res. 2013 May.

Abstract

Accidentally swallowed dentures can lead to severe complications in the gastrointestinal tract. Therefore, an early detection and an effective therapeutic management are important. In the era of advanced endoscopy, though the primary treatment of an impacted foreign body in the oesophagus is an endoscopic removal, a primary surgical treatment is advised for dentures with sharp hooks. Also, a prolonged impaction of dentures with sharp hooks leads to an increase in the complication rates. We are reporting a case of accidentally swallowed denture. After the diagnosis of an impacted denture was made, upper GI endoscopy revealed that an endoscopic removal was not feasible and thus, a late surgical removal was performed in the form of a transhiatal oesophagectomy and reconstruction. This case highlights the importance of an early and preferred treatment in the form of a controlled surgical intervention as compared to an endoscopic extraction for patients with impacted dentures with sharp hooks.

Keywords: Impacted denture, Denture with sharp hooks; Impacted foreign body in the oesophagus; Oesophagectomy.

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Figures

[Table/Fig-1]:
[Table/Fig-1]:
1. Endoscopic view showing impacted denture at lower end of oesophagus 2. Excised esophagus specimen showing necrotic walls of oesophagus 3. Position of denture in the oesophagus 4. Removed denture with sharp hooks
See this image and copyright information in PMC

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