Shadidi Asil Roozbeh, Zamani Amir, Fooladi Zahra, Hatampour Kasra
Department of General Surgery, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Radiology, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
Oxf Med Case Reports. 2024 Jul 9;2024(7):omae047. doi: 10.1093/omcr/omae047. eCollection 2024 Jul.
Foreign body ingestion can lead to esophageal complications, including perforation and impaction, in up to 20% of cases, making it a critical situation. Misdiagnosis or delayed diagnosis can cause severe complications.
We present the case of a 78-year-old female who swallowed an acrylic partial denture leading to progressive dysphagia and a vegetative ulcerative lesion on endoscopy. The lesion was initially misdiagnosed as a neoplasm of the esophagus. CT scan and a repeat endoscopy revealed the presence of a denture in the esophagus. The denture was successfully removed with a rigid esophagoscope, and no evidence of complications was reported in follow-up visits.
Diagnosis of esophageal foreign bodies involves imaging studies and endoscopy, which is the gold standard for diagnosis and management. CT scans also have an important role in diagnosing controversial cases. Treatment depends on the size, shape, and location of the object.
异物吞咽可导致食管并发症，包括穿孔和嵌顿，高达20%的病例会出现这种情况，使其成为一种危急情况。误诊或延迟诊断可导致严重并发症。
我们报告一例78岁女性病例，她吞下了一副丙烯酸局部义齿，导致进行性吞咽困难，内镜检查发现有一个增殖性溃疡性病变。该病变最初被误诊为食管肿瘤。CT扫描和再次内镜检查显示食管内有一副义齿。使用硬式食管镜成功取出了义齿，随访中未报告并发症迹象。
食管异物的诊断涉及影像学检查和内镜检查，内镜检查是诊断和治疗的金标准。CT扫描在诊断有争议的病例中也起着重要作用。治疗取决于异物的大小、形状和位置。
