Ishikawa Shinji, Fukuma Daiki, Taki Katsunobu, Ishiko Takatoshi
Department of Surgery, Kumamoto Kenhoku Hospital, Kumamoto, Japan.
Department of Oral and Maxillofacial Surgery, Kumamoto Kenhoku Hospital, Kumamoto, Japan.
J Surg Case Rep. 2023 Mar 4;2023(3):rjad088. doi: 10.1093/jscr/rjad088. eCollection 2023 Mar.
Six years prior, the patient accidentally swallowed a denture during a meal and immediately visited a nearby doctor. However, because spontaneous excretion was expected, regular imaging testing was used to monitor it. After 4 years, although the denture was still in the small bowel, as there were no symptoms, the regular follow-up was terminated. Because the patient's anxiety increased, he visited our hospital 2 years later. Surgery was performed, as it was determined that there was no possibility of spontaneous excretion. The denture was palpated in the jejunum. The small intestine was incised, and the denture was removed. As far as we know, there are no guidelines prescribing a clear follow-up period for accidental denture ingestion. In addition, there are no guidelines specifying surgical indications in asymptomatic cases. Nonetheless, there have been reports of gastrointestinal perforations with dentures, and we consider that earlier preventive surgical intervention is better.
六年前,患者在进餐时意外吞下一副假牙,随后立即前往附近的医生处就诊。然而,由于预计假牙会自然排出,因此采用常规影像学检查对其进行监测。四年后,尽管假牙仍在小肠内,但由于没有症状,常规随访终止。由于患者焦虑情绪加剧,两年后他前来我院就诊。经判断假牙已无自然排出的可能,遂进行了手术。在空肠处摸到了假牙。切开小肠,取出了假牙。据我们所知,目前尚无规定意外吞入假牙后明确随访期限的指南。此外,也没有针对无症状病例手术指征的指南。尽管如此,已有假牙导致胃肠道穿孔的报道,我们认为早期预防性手术干预更好。