Boopathy Vinoth, Bakshi Satvinder Singh, Balasubramanian Padhmini, Dakshinamoorthy Suganthy
Department of Medical Gastroenterology, Mahatma Gandhi Medical College and Research Institute, Puducherry, India.
Department of ENT, Mahatma Gandhi Medical College and Research Institute, Puducherry, India.
BMJ Case Rep. 2015 Sep 30;2015:bcr2015211400. doi: 10.1136/bcr-2015-211400.
Accidental ingestion of a denture is an acute emergency, and the denture is usually removed on the same day it is discovered. We present a patient who had a seizure while asleep, during which his denture broke; he accidentally swallowed a major part of it, which had a clasp attached. He was unaware that he had ingested the denture, since he was asymptomatic, but he started developing symptoms after 5 days and presented to us on the eighth day of ingestion. With much difficulty, the impacted section of the denture in the distal oesophagus was removed with the combined effort of flexible endoscopy and a rigid oesophagoscopy. Post-procedure, the patient developed mediastinitis, which was managed conservatively; he is doing well on follow-up.
意外吞入假牙是一种急性紧急情况，假牙通常在发现当天取出。我们报告一名患者，他在睡眠中癫痫发作，期间假牙断裂；他意外吞下了大部分带有卡环的假牙。他没有意识到自己吞入了假牙，因为他没有症状，但5天后开始出现症状，并在吞入后的第八天前来就诊。在内镜和硬式食管镜的联合努力下，艰难地取出了远端食管中嵌顿的假牙部分。术后，患者发生了纵隔炎，采用保守治疗；随访时情况良好。
