Foreign body in the esophagus: Chronically impacted partial denture without serious complication

Background: Although chronic foreign bodies in the esophagus are rare, they often come with significant life-threatening complications. Duration of the impactions with the shape and size of the foreign body is considered as the main factor associated with complications, and early diagnosis and remov...

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Main Authors: B. Krišto, I. Krželj
Format: Article
Language:English
Published: Elsevier 2016-12-01
Series:Otolaryngology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S246854881630011X
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author B. Krišto
I. Krželj
author_facet B. Krišto
I. Krželj
author_sort B. Krišto
collection DOAJ
description Background: Although chronic foreign bodies in the esophagus are rare, they often come with significant life-threatening complications. Duration of the impactions with the shape and size of the foreign body is considered as the main factor associated with complications, and early diagnosis and removal of impacted foreign body is therefore of great importance. Discussion: Thirty four (34) year old patient with a two-month history of dysphagia and severe weight loss is treated on suspicion of chronic impacted denture in the esophagus. Lateral neck x-ray was negative, but because of the high degree of suspicion, MSCT scan was done, which showed an impacted foreign body. Despite the long-term impaction of the voluminous partly sharp impacted foreign body in the esophagus, there were not developed expected sometimes even fatal complications. Conclusion: Patients with a long history and a high degree of suspicion of a foreign body in the esophagus with no signs of life-threatening complications and even with negative findings of the lateral x-ray of the neck must be immediately subjected to diagnostic procedures to prove possible impacted foreign body and instant removal if the same is confirmed. The endoscopic procedure is the treatment of choice and is usually successful. Neck exploration is safe and effective when endoscopic surgery is not successful.
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spelling doaj.art-f7585a2844994bcb9bde994b8f2d48c72022-12-22T00:20:42ZengElsevierOtolaryngology Case Reports2468-54882016-12-01115710.1016/j.xocr.2016.10.002Foreign body in the esophagus: Chronically impacted partial denture without serious complicationB. KrištoI. KrželjBackground: Although chronic foreign bodies in the esophagus are rare, they often come with significant life-threatening complications. Duration of the impactions with the shape and size of the foreign body is considered as the main factor associated with complications, and early diagnosis and removal of impacted foreign body is therefore of great importance. Discussion: Thirty four (34) year old patient with a two-month history of dysphagia and severe weight loss is treated on suspicion of chronic impacted denture in the esophagus. Lateral neck x-ray was negative, but because of the high degree of suspicion, MSCT scan was done, which showed an impacted foreign body. Despite the long-term impaction of the voluminous partly sharp impacted foreign body in the esophagus, there were not developed expected sometimes even fatal complications. Conclusion: Patients with a long history and a high degree of suspicion of a foreign body in the esophagus with no signs of life-threatening complications and even with negative findings of the lateral x-ray of the neck must be immediately subjected to diagnostic procedures to prove possible impacted foreign body and instant removal if the same is confirmed. The endoscopic procedure is the treatment of choice and is usually successful. Neck exploration is safe and effective when endoscopic surgery is not successful.http://www.sciencedirect.com/science/article/pii/S246854881630011XForeign bodyDenture impactionOesophagoscopyRigid endoscopy
spellingShingle B. Krišto
I. Krželj
Foreign body in the esophagus: Chronically impacted partial denture without serious complication
Otolaryngology Case Reports
Foreign body
Denture impaction
Oesophagoscopy
Rigid endoscopy
title Foreign body in the esophagus: Chronically impacted partial denture without serious complication
title_full Foreign body in the esophagus: Chronically impacted partial denture without serious complication
title_fullStr Foreign body in the esophagus: Chronically impacted partial denture without serious complication
title_full_unstemmed Foreign body in the esophagus: Chronically impacted partial denture without serious complication
title_short Foreign body in the esophagus: Chronically impacted partial denture without serious complication
title_sort foreign body in the esophagus chronically impacted partial denture without serious complication
topic Foreign body
Denture impaction
Oesophagoscopy
Rigid endoscopy
url http://www.sciencedirect.com/science/article/pii/S246854881630011X
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AT ikrzelj foreignbodyintheesophaguschronicallyimpactedpartialdenturewithoutseriouscomplication