Sghaier Asma, Mraidha Mohamed Hédi, Jarrar Mohamed Salah, Gaddour Mariem, Elghali Mohamed Amine, Youssef Sabri
Hospital of Farhat Hached of Sousse, Tunisia; Faculty of Medicine of Sousse, University of Sousse, Tunisia; Department of general surgery, Tunisia.
Hospital of Farhat Hached of Sousse, Tunisia; Faculty of Medicine of Sousse, University of Sousse, Tunisia; Department of general surgery, Tunisia.
Int J Surg Case Rep. 2023 Sep;110:108770. doi: 10.1016/j.ijscr.2023.108770. Epub 2023 Aug 31.
Denture swallowing is an uncommon incident. However, it should be suspected in edentulous elderly patients who wear removable dentures which are poorly cared for and maintain. The existence of neuro-psychiatric disorders may contribute to the occurrence of this adverse event.
We report the case of an 85-years-old woman admitted to emergency with acute intestinal occlusion. The investigations concluded that the bowel was obstructed by a foreign body blocked in the terminal ileum. There was a high suspicion that his dental prosthesis had been swallowed. Removal of the dental prosthesis was achieved surgically after laparotomy.
Foreign bodies in the esophagus could be responsible of a variety of symptoms, including dysphagia, airway obstruction and even perforation. In the gastrointestinal tract foreign bodies may be responsible of fewer specific symptoms, including abdominal pain, melena or perforation. The blockage will occur in anatomical strictures. At the most appropriate situations, removal should be performed through endoscopy, although in case of failure of procedure or complication, surgery will be unavoidable.
Ingestion of a dental or other foreign object is a clinical condition that is more common in pediatric populations, but is very rare in healthy individuals. Denture swallowing is insidious in itself and may lead to a complicated course, if not properly managed. Although most of these can be conservative, careful monitoring is necessary to avoid such adverse event.
假牙吞咽是一种罕见事件。然而，对于佩戴可摘假牙且护理和维护不佳的无牙老年患者，应怀疑有假牙吞咽情况。神经精神障碍的存在可能促使这一不良事件的发生。
我们报告一例85岁女性因急性肠梗阻入院急诊的病例。检查结论为肠道被阻塞在回肠末端的异物堵塞。高度怀疑其假牙已被吞咽。剖腹手术后通过手术取出了假牙。
食管内的异物可能导致多种症状，包括吞咽困难、气道阻塞甚至穿孔。在胃肠道中，异物可能导致较少的特定症状，包括腹痛、黑便或穿孔。阻塞会发生在解剖学狭窄处。在最合适的情况下，应通过内镜检查进行取出，尽管在操作失败或出现并发症的情况下，手术将不可避免。
吞食牙齿或其他异物是一种在儿科人群中较为常见但在健康个体中非常罕见的临床情况。假牙吞咽本身隐匿，如果处理不当可能导致复杂的病程。虽然大多数情况可以保守处理，但需要仔细监测以避免此类不良事件。
