Impaction of swallowed dentures in the sigmoid colon requiring sigmoid colectomy

International Journal of Surgery Case Reports
Michael FlanaganMicheal G O Riordain

Abstract

Foreign body (FB) ingestion results in perforation in 1% of cases and is associated with significant morbidity and rarely mortality. Clinical presentation is variable and can present a diagnostic challenge. We report our experience and management of a patient with a delayed presentation of a sigmoid colon foreign body as a result of ingestion of a dental plate. A 67 year old female attended the colorectal outpatient clinic following an incidental finding of a sigmoid mass on computed tomography (CT) abdomen. Further investigation identified a dental plate impacted in a thickened sigmoid colon. On further questioning the patient recalled losing her dentures three years previously. At surgery the dental plate had partially eroded through the sigmoid colon into the pelvic side wall. A sigmoid colectomy and hand sewn end-to-end colo-colic anastomosis was performed. Localised perforation following ingestion of a foreign body may result in significant morbidity. Extra luminal migration and local inflammatory response resulted in the formation of a walled off collection. Delayed complications of perforation include abscess and fistula formation. Clinicians need to exhibit a high index of suspicion when treating edentulous patients and...Continue Reading

Citations

Apr 16, 2020·Ear, Nose, & Throat Journal·Jessica DanielsSadie Khwaja
Oct 17, 2019·ACG Case Reports Journal·Narasimha Swamy Gollol-RajuPrashant Mudireddy

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