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Case Reports
. 2019 Jul 16:2019:9621383.
doi: 10.1155/2019/9621383. eCollection 2019.

Denture Impaction Causing an Upper Esophageal Diverticulum

Shireen Samargandy  1 , Hani Marzouki  1 , Talal Al-Khatib  1 , Mazin Merdad  1
Affiliations
Case Reports

Denture Impaction Causing an Upper Esophageal Diverticulum

Shireen Samargandy et al. Case Rep Gastrointest Med. .

Abstract

Background: Dentures are a common cause of inadvertent foreign body ingestion particularly in the elderly. Due to their radiolucent nature, they often present a diagnostic challenge to care providing physicians.

Case presentation: A 66-year-old female presented to our otolaryngology clinic with a 2-year history of dysphagia. Her physical examination was unremarkable. Computed tomography scan of the neck and barium swallow suggested Zenker diverticulum. She was planned for endoscopic diverticulotomy; however, during surgery, a foreign body was incidentally found and retrieved, which was a partial lower denture. The diverticulum resolved thereafter, and the patient's symptoms abated.

Conclusion: The authors recommend evaluating the esophagus endoscopically first in cases of upper esophageal diverticular formation, even when planning an open repair approach, to rule out any concealed foreign bodies.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
Barium swallow showing a left paramedian diverticulum with mild indentation on the trachea.
Figure 2
Figure 2
Axial CT scan image of the neck with contrast confirming the diverticulum arising from the midline that is directed towards the left side.
Figure 3
Figure 3
Endoscopic image of the foreign body retrieval.
Figure 4
Figure 4
Removable partial lower incisor denture measuring 3 centimeters.
See this image and copyright information in PMC

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