Delayed presentation of a small bowel perforation secondary to an ingested denture

Patel, Pranav; Slesser, Alistair; Idaikkadar, Praveena; Kostourou, Ioanna; Awad, Reda

doi:10.1258/shorts.2012.012014

Cited by 7 publications

(5 citation statements)

References 13 publications

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“…Padav PH et al. reported a case of denture impaction in middle ileum what we also faced in our first case [15] . Denture impaction in large bowel and its possible consequences are uncommon because of its larger diameter and solid consistency of its contents what helps to avoid trauma of bowel wall.…”

Section: Discussionsupporting

confidence: 66%

“…Obstruction is also very rare and almost all reported cases of gastrointestinal tract obstruction are esophageal obstruction. To the best of our knowledge, this is the second report on small bowel obstruction caused by ingested denture [15] . Our first patient developed small bowel obstruction and underwent laparotomy; the second patient also developed ileocecal valve obstruction, however, resolved during colonoscopy preparation.…”

Section: Discussionmentioning

confidence: 75%

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Swallowed dentures: Two cases and a review

Gachabayov

Isaev

Orujova

et al. 2015

Annals of Medicine &Amp; Surgery

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IntroductionDenture ingestion or aspiration is a problem requiring awareness of different specialists including dentists, surgeons, otolaryngologists, anesthesiologists etc. in terms of prevention, early diagnosis and adequate treatment. Complications of swallowed dentures include hollow viscus necrosis, perforation, penetration to neighbor organs leading to fistulae, bleeding and obstruction.Presentation of casesFirst case is a 54-year-old female who accidentally swallowed retractable one-tooth denture during fall about 22 h before admission and clinical manifestation of acute small bowel obstruction developed. The patient underwent laparotomy, enterotomy with retrieval of the foreign body. The second case is a 31-year-old male who accidentally ingested fixed one-tooth prosthesis while eating which impacted in the ileocaecal valve. During the preparation to colonoscopy the denture spontaneously passed out with stools.DiscussionDenture ingestion is more common among patients with psychoneurologic deficit, alcohol and drug abusers. Among healthy and younger population denture ingestion is rare. Both reported patients are not elder. Thus dislodgement of removable or fixed dentures is another risk factor of denture ingestion. Most common site of denture impaction is esophagus; small bowel impaction is rare. Moreover, in most reported cases, small bowel impaction of ingested dentures leads to small bowel perforation. In our first case the complication of denture ingestion appeared to be bowel obstruction what is even rarer.ConclusionFixed dentures can be accidentally ingested as well as removable dentures. Denture loosening leads to accidental denture ingestion. Patients with denture loosening should be recommended to visit dentist as soon as possible.

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Section: Discussionsupporting

confidence: 66%

Section: Discussionmentioning

confidence: 75%

Swallowed dentures: Two cases and a review

Gachabayov

Isaev

Orujova

et al. 2015

Annals of Medicine &Amp; Surgery

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“…Depending on the location of the accident, cervical, chest, and abdominal images are also required. For a more accurate diagnosis, a computed tomography image can also be taken to specifically check for perforations and abscess formations 7 .…”

Section: Discussionmentioning

confidence: 99%

“…To investigate and evaluate cases that required surgery due to the occurrence of an accident, a comprehensive literature review was conducted in 1988 and compared in tables to provide data on the cause of the accident, the initial visit time, location, result, and treatment [6][7][8][9][10][11][12][13][14][15][16][17][18][19] . (Tables 1, 2) A PubMed search of the terms "dental ingestion and aspiration" and "surgery" was performed from 1988 to 2022.…”

Section: What You Can Do To Prevent Sequelaementioning

confidence: 99%

Strategies for dental aspiration and ingestion accidents that can lead to serious complications: a report of three cases and a review of articles

Shin

Hong

Kim

et al. 2022

JKAOMS

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Population aging and the usage of small devices in implant prosthetic procedures have led to many incidents of dental aspiration and ingestion. Various preventive measures have been introduced to prevent these accidents. However, accidents can occur at any time. Dental aspiration and ingestion lead to fatal consequences if the issue is not promptly and appropriately dealt with. Preparing a collaborative system for dealing with accidents before they occur can prevent further sequelae. This study involves ingestion and aspiration accidents that occurred during dental treatment: two ingestion cases and one aspiration case. All dental foreign bodies were removed according to the guidelines presented in our review. With the cooperation of other medical departments, the issues were quickly resolved. Simple and accurate protocols should be provided to all dentists and dental staff to respond to such dental emergencies. In addition, collaboration among other medical departments should be established before any accidental ingestion and aspiration events occur.

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“…1 Yetişkinlerde yutulan yabancı cisimlerin %1,5'ini diş protezi oluşturmaktadır. 2,3 Kolon geniş çapı ve solid yükünün fazla olması nedeniyle, ileo-çekal valvden geçen yabancı cisimlerin problem oluşturmadan geçtiği sindirim segmentidir. 4 Fakat yutulan yabancı cisimlerin çok sayıda olması veya eşlik eden malignite durumlarında cerrahi gerektiren kolon obstrüksiyonu gelişebilir.…”

Section: Introductionunclassified

A Rare Cause of Colonic Obstruction: Dentures

Aday¹,

Çiyiltepe²,

Çetin³

et al. 2016

TJCD

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Yetişkin popülasyonda yabancı cisim yutulması genellikle kazara oluşmakta, gıda artıkları ve diş protezleri öne çıkmaktadır. İleo-çekal valvden geçebilen cisimler, kolonda darlık oluşturan herhangi bir neden yoksa sıklıkla gaita ile problemsiz atılır. Yabancı cismin kolon duvarına impakte olarak darlık oluşturması oldukça nadir olup, maligniteyi taklit edebilir. Yaklaşık 4 ay önce fark edilmeden yutulan diş protezinin splenik fleksurada oluşturduğu darlığın kolon tümörünü taklit etmesi nedeniyle, 45 yaşındaki erkek hastaya segmenter kolon rezeksiyonu yapıldı. Nadir görülmesi nedeniyle sunulmaya değer görüldü. Anahtar Kelimeler: Kolon obstrüksiyonu, diş protezi, kolon kanseri ÖZ ABSTRACTThe swallowing of foreign bodies is generally accidental among adult population; most common foreign bodies are food scraps and dentures. Foreign bodies that can pass through the ileocecal valve are removed by defecation unless the presence of an underlying cause of colonic obstruction. The impaction of a foreign body into the colonic wall and the formation of colonic obstruction is a rare condition which might mimic malignancy. Segmental colon resection was performed to a 45-year-old male due to unnoticed swallowing of a denture approximately 4 months ago that resulted in colonic obstruction mimicking colon cancer in splenic flexura. As this is a rare condition, we aimed to present this case report. OLGU SUNUMU GirişYabancı cisim yutulması sıklıkla çocuklarda ve psikiyatrik hastalarda karşılaşılan bir durumdur. Yutulan yabancı cisimlerin önemli bir kısmı sindirim sisteminde herhangi bir komplikasyon oluşturmadan defekasyonla atılırlar.1 Yetişkinlerde yutulan yabancı cisimlerin %1,5'ini diş protezi oluşturmaktadır.2,3 Kolon geniş çapı ve solid yükünün fazla olması nedeniyle, ileo-çekal valvden geçen yabancı cisimlerin problem oluşturmadan geçtiği sindirim segmentidir. 4 Fakat yutulan yabancı cisimlerin çok sayıda olması veya eşlik eden malignite durumlarında cerrahi gerektiren kolon obstrüksiyonu gelişebilir. 5,6 Dört ay önce kazara yutulan diş protezinin splenik fleksurada oluşturduğu obstrüksiyonu nedeniyle cerrahi rezeksiyon yapılan olgumuzu sunmayı amaçladık. Olgu SunumuKırk beş yaşında erkek hasta yaklaşık 4 aydır kolik şeklinde karın ağrısı, kabızlık-ishal atakları ve kilo kaybı şikayetiyle kliniğimize başvurdu. Yapılan fizik muayenede batın hafif distandü idi ve timpanizm artışı saptandı. Vücut kitle indeksi 20,2 kg/m 2 olup laboratuvar parametreleri ve tümör belirteçleri normal aralıktaydı. Çekilen ayakta karın grafisinde batın sol üst kadranda hiperdens cisim tespit edildi (Resim 1). Malignite şüphesi nedeniyle yapılan kolonoskopik değerlendirmede; splenik fleksurada kolonoskopun geçişine izin vermeyen, sirküler darlık saptandı ve multipl biyopsiler alındı. Histopatolojik değerlendirmede nonspesifik değişiklik saptanarak malignite lehine bulgu saptanmadı. Hastada devam eden tümör şüphesi nedeniyle oral ve intravenöz kontrastlı batın tomografisi çekildi. Batın tomografisinde; splenik fleksura düzeyinde kolon duvarına impa...

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Delayed presentation of a small bowel perforation secondary to an ingested denture

Cited by 7 publications

References 13 publications

Swallowed dentures: Two cases and a review

Swallowed dentures: Two cases and a review

Strategies for dental aspiration and ingestion accidents that can lead to serious complications: a report of three cases and a review of articles

A Rare Cause of Colonic Obstruction: Dentures

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