Journal of The Showa Medical Association
Online ISSN : 2185-0976
Print ISSN : 0037-4342
ISSN-L : 0037-4342
A CASE OF DUODENUM PERFORATION FOLLOWING INGESTION OF A PARTIAL DENTURE
Yutaka TAKANOHiroshi ISHIIMituo KUSANOSadaaki KATOMasanobu MARUYAMAToshitaka FURUKAWA
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JOURNAL FREE ACCESS

2003 Volume 63 Issue 4 Pages 443-446

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Abstract
Foreign bodies in the oral cavity such as a denture can be accidentally swallowed with food. Such foreign bodies are spontaneously discharged in most cases and rarely induce complications. We report a case of perforation of the duodenum due to an accidentally swallowed partial denture. An 82-year-old man was seen at a hospital because accidentally swallowing a partialdenture while eatlng the patient was referred to the hospital because the denture was not discharged for 3 days. Abdominal plain X-ray examination showed that the denture was in the upper abdomen. Endoscopic removal was unsuccessful because the denture was impacted around the horizontal part of the duodenum, and an abdominal x-ray examination showed that the denture had not moved. Five days later, the pating underwent laparotomy. There was perforation of the duodenum by metallic hooks of the denture protruding through the wall of the intestine. The perforated site was incised and the denture was removed, with a foreign body remaining in the intestine for a long time, careful management is required considering probable complications such as perforation.
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