Abstract
A 54-year-old female presented after accidentally ingesting her artificial tooth with clasp. We felt a resistance to endoscopic removal which we attempted that left an esophageal perforation of a few millimeters. As mediastinitis developed, we started conservative medical management. After a while, a mediastinal abscess appeared, and we performed an operation to remove the foreign body in the stomach, and to suture shut the esophageal perforation area. At the same time, we also performed omentopexy, as well as drainage of the mediastinal and pleural space. The post surgical condition, with constant high fever and a high rate of an inflammatory response, complicated the failure of the esophageal sutures, which took a long time to drain. This case was very difficult to deal with, but the patient was eventually discharged on the 58th postoperative day, by successful conservative medical management.
