Tagliaferri Ariana R, Melki Gabriel, Feghali Crystal, Cavanagh Yana
Department of Gastroenterology, St. Joseph's University Medical Center, Paterson, NJ 07470, USA.
Radiol Case Rep. 2022 Oct 21;17(12):4928-4931. doi: 10.1016/j.radcr.2022.09.071. eCollection 2022 Dec.
Ingestion and aspiration can be accidental or intentional events in both adults and children. Approximately 1500 people in the United States die from ingestion of foreign bodies annually. Patients with cognitive disabilities, neurological disorders, elderly age or incarcerated patients carry the highest risk of intentional and/or accidental ingestion of foreign objects. Although uncommon, ingestion of foreign objects during dental procedures can be potentially life-threatening and increased awareness is important. Sharp objects ingested from dental procedures can cause impaction, obstruction, hemorrhage, or perforation and may need endoscopic or surgical intervention. Herein we report a case of a 22-year-old male, who underwent routine dental cleaning and accidentally ingested an endodontic file, retrieved from the ascending colon endoscopically without complications.
摄入和误吸在成人和儿童中都可能是意外或故意事件。在美国，每年约有1500人死于异物摄入。认知障碍、神经疾病患者、老年人或被监禁患者发生故意和/或意外摄入异物的风险最高。尽管在牙科手术过程中摄入异物并不常见，但可能会危及生命，提高认识很重要。牙科手术中摄入的尖锐物体可导致嵌塞、梗阻、出血或穿孔，可能需要内镜或手术干预。在此，我们报告一例22岁男性病例，该患者接受常规牙齿清洁时意外摄入一根根管锉，通过内镜从升结肠取出，未发生并发症。
