Samargandy Shireen, Marzouki Hani, Al-Khatib Talal, Merdad Mazin
Department of Otolaryngology-Head and Neck Surgery, King Abdulaziz University, Jeddah, Saudi Arabia.
Case Rep Gastrointest Med. 2019 Jul 16;2019:9621383. doi: 10.1155/2019/9621383. eCollection 2019.
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.
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.
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.
假牙是意外吞食异物的常见原因，尤其是在老年人中。由于其射线可透性，它们常常给提供护理的医生带来诊断挑战。
一名66岁女性因吞咽困难2年就诊于我们的耳鼻喉科诊所。她的体格检查无异常。颈部计算机断层扫描和吞钡检查提示Zenker憩室。她计划接受内镜憩室切开术；然而，在手术过程中，意外发现并取出了一个异物，是一个部分下假牙。此后憩室消失，患者症状缓解。
作者建议，即使计划采用开放修复方法，对于食管上段憩室形成的病例，也应首先进行内镜评估食管，以排除任何隐匿的异物。
