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Impaction of swallowed dentures in the sigmoid colon requiring sigmoid colectomy
INTRODUCTION: 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 presentatio...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994734/ https://www.ncbi.nlm.nih.gov/pubmed/29753276 http://dx.doi.org/10.1016/j.ijscr.2018.04.033 |
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author | Flanagan, Michael Clancy, Cillian O Riordain, Micheal G. |
author_facet | Flanagan, Michael Clancy, Cillian O Riordain, Micheal G. |
author_sort | Flanagan, Michael |
collection | PubMed |
description | INTRODUCTION: 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. PRESENTATION OF CASE: 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. DISCUSSION: 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. CONCLUSION: Clinicians need to exhibit a high index of suspicion when treating edentulous patients and alcohol and drug abusers who present with an acute abdomen or a sub-acute presentation with associated atypical imaging and endoscopic findings. The decision regarding intervention and management strategy in cases of perforation by foreign body depends on chronicity of the case, extent of localised or diffuse peritonitis, and size of the lesion or area of bowel involved. |
format | Online Article Text |
id | pubmed-5994734 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-59947342018-06-12 Impaction of swallowed dentures in the sigmoid colon requiring sigmoid colectomy Flanagan, Michael Clancy, Cillian O Riordain, Micheal G. Int J Surg Case Rep Article INTRODUCTION: 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. PRESENTATION OF CASE: 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. DISCUSSION: 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. CONCLUSION: Clinicians need to exhibit a high index of suspicion when treating edentulous patients and alcohol and drug abusers who present with an acute abdomen or a sub-acute presentation with associated atypical imaging and endoscopic findings. The decision regarding intervention and management strategy in cases of perforation by foreign body depends on chronicity of the case, extent of localised or diffuse peritonitis, and size of the lesion or area of bowel involved. Elsevier 2018-05-07 /pmc/articles/PMC5994734/ /pubmed/29753276 http://dx.doi.org/10.1016/j.ijscr.2018.04.033 Text en © 2018 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Article Flanagan, Michael Clancy, Cillian O Riordain, Micheal G. Impaction of swallowed dentures in the sigmoid colon requiring sigmoid colectomy |
title | Impaction of swallowed dentures in the sigmoid colon requiring sigmoid colectomy |
title_full | Impaction of swallowed dentures in the sigmoid colon requiring sigmoid colectomy |
title_fullStr | Impaction of swallowed dentures in the sigmoid colon requiring sigmoid colectomy |
title_full_unstemmed | Impaction of swallowed dentures in the sigmoid colon requiring sigmoid colectomy |
title_short | Impaction of swallowed dentures in the sigmoid colon requiring sigmoid colectomy |
title_sort | impaction of swallowed dentures in the sigmoid colon requiring sigmoid colectomy |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994734/ https://www.ncbi.nlm.nih.gov/pubmed/29753276 http://dx.doi.org/10.1016/j.ijscr.2018.04.033 |
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