Unsuspected radiolucent partial denture impaction in the sigmoid colon mimicking malignancy

Tshuma, Makabongwe; Velchuru, Vamsi; Waters, Geoffrey

doi:10.1259/bjrcr.20160074

Cited by 2 publications

(5 citation statements)

References 7 publications

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“…Other risk factors are mechanical falls, hurried eating, mental diseases, alcohol- and drug abuse. Furthermore, dentures are made from polymethylmethacrylate (PMMA), a denture base material, which is radiolucent and thus extremely difficult to visualize on conventional imaging [ 5 , 7 ]. To date not all dentures contain radiopaque material.…”

Section: Discussionmentioning

confidence: 99%

“…In 1% of the cases it leads to intestinal perforation, usually at areas of acute angulation or luminal narrowing such as the terminal ileum, ileo-cecal valve or the colorectal region [ 1 , 2 ]. The ingestion of dentures can lead to impaction and intestinal perforation with serious complications and even fatal outcome [ 3 – 5 ]. Complications occur often due to delay in the diagnosis.…”

Section: Introductionmentioning

confidence: 99%

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Ingested partial denture mimicking perforated diverticular disease

Wehrmann

Hashim

Mansoor

2019

Journal of Surgical Case Reports

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Denture ingestion is a rare clinical entity among foreign body ingestions. The caveat is that there is often no recollection of the event and that dentures are radiolucent and as such hard to identify on conventional imaging. To date not all dentures contain radiopaque marker. Here we present the case of a 52-year-old male who was admitted with clinical and radiological signs of perforated diverticular disease. A curvilinear metallic foreign body was picked up on repeat CT imaging at day 3, which was part of an unknowingly swallowed partial denture that became impacted and perforated the sigmoid colon. The patient underwent an uneventful laparoscopic anterior resection and was discharged home a week later. We conclude that all dentures should contain a radiopaque marker in order to avoid failure in radiological detection and thus prevent misdiagnosis and inappropriate treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ingested partial denture mimicking perforated diverticular disease

Wehrmann

Hashim

Mansoor

2019

Journal of Surgical Case Reports

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“…Among those patients with denture impaction in the lower GI tract who were symptomatic, patients most often reported abdominal pain and altered bowel habits. [7][8][9]14,16,18,24,27,28,38,39 The most common symptoms of denture impaction regardless of anatomic site of impaction are presented in Figure 4.…”

Section: Signs and Symptoms Of Denture Impactionmentioning

confidence: 99%

“…3,9,29,33,36 Notably, the patient's symptoms in two cases were initially attributed to a suspected malignancy in the sigmoid colon, but surgical resection led to the identification of an impacted partial plate in both cases. 9,16…”

Section: Delayed Diagnosis Of Denture Impactionmentioning

confidence: 99%

“…[40][41][42][43][44][45][46] As mentioned previously, none of the events in our study involved denture impaction beyond the stomach, while numerous events in the case reports and case series that we reviewed involved impaction in the lower GI tr act. [7][8][9]14,[16][17][18]24,27,28,38,39 The method of data collection may have influenced the events that were identified in our study and in the medical literature. In our study, we searched for keywords within free text fields in our database that we thought would be most likely to identify a denture impaction event, and we included the keywords "pharyn" and "throat."…”

Section: Anatomic Site Of Denture Impactionmentioning

confidence: 99%

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Swallowed Dentures: An Analysis of Denture Impaction Events in Pennsylvania

Kukielka¹,

Jones²

2020

PatientSaf

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Tooth loss is a prevalent health concern affecting two-thirds of the geriatric population in the United States. Most patients replace missing teeth with dentures, which have the potential to become dislodged, swallowed, and stuck somewhere along the gastrointestinal tract (termed denture impaction). We queried the Pennsylvania Patient Safety Reporting System (PA-PSRS) and identified 68 denture impaction events reported from 2004 to 2019. An in-depth analysis revealed that patients were most often male, and the median patient age was 77 years. The most common symptoms reported by patients with denture impaction included difficult and/or painful swallowing, breathing trouble or respiratory distress, sore throat, foreign body sensation in the throat, throat obstruction preventing insertion of a tube or scope, choking, excessively thick and/or bloody oral secretions, and vomiting or regurgitation of food. The pharynx was the most common site of denture impaction, and x-ray imaging was the most common diagnostic test mentioned. The most common method of removal was surgery, and the most common surgical procedures employed were esophagogastroduodenoscopy and laryngoscopy. We believe that we have identified a category of denture impaction events that has not previously been characterized. Our study, coupled with the existing medical literature, suggests that all patients, along with their caregivers and healthcare providers, should be aware of the proactive steps to avoid denture impaction, as well as signs and symptoms of impaction for early identification and treatment. Keywords: choking, denture, denture impaction, edentulism, intubation, swallowed dentures, delayed diagnosis

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Unsuspected radiolucent partial denture impaction in the sigmoid colon mimicking malignancy

Cited by 2 publications

References 7 publications

Ingested partial denture mimicking perforated diverticular disease

Ingested partial denture mimicking perforated diverticular disease

Swallowed Dentures: An Analysis of Denture Impaction Events in Pennsylvania

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