Taheriniya Ali, Safaie Hasan, Rozveh Javad Karimi, Azizmanesh Mohammad, Chaghamirzayi Pouria
Department of Emergency Medicine, Alborz University of Medical Sciences, Karaj, Iran.
Alborz University of Medical Sciences, Karaj, Iran.
Radiol Case Rep. 2024 Oct 18;20(1):162-165. doi: 10.1016/j.radcr.2024.09.122. eCollection 2025 Jan.
A 44-year-old man with a history of epilepsy presented with mild, persistent chest pain lasting 3 days, despite normal cardiac evaluations. A chest computed tomography scan revealed 3 artificial dental prostheses lodged in his esophagus, which the patient had inadvertently swallowed during a recent seizure. Endoscopic removal of the foreign bodies resolved his chest pain without complications. This case emphasizes the importance of considering esophageal foreign bodies as a differential diagnosis for persistent chest pain, particularly in patients with neurological conditions, and highlights the role of early imaging for accurate diagnosis and timely intervention.
一名有癫痫病史的44岁男性，尽管心脏评估正常，但仍出现持续3天的轻度胸痛。胸部计算机断层扫描显示其食管内有3个假牙，这些假牙是患者在最近一次癫痫发作时不小心吞下的。通过内镜取出异物后，患者胸痛症状缓解，且未出现并发症。该病例强调了将食管异物作为持续性胸痛鉴别诊断的重要性，尤其是对于患有神经系统疾病的患者，并突出了早期影像学检查在准确诊断和及时干预中的作用。
