Mis-Swallowing Sharp Pointed Object in the Esophagus: An Alarming Case Series

The majority cases of foreign body ingestion reported are usually children. This reflecting the tendency of children to use their mouth to explore their new surroundings and objects. While coins are the usual ingested foreign body in children, a brooch is the culprit for one of the cases we are reporting here. Denture ingestion, meanwhile, is one of the most common foreign body ingestions in adult. Acrylic denture is a type of denture made up of plastic material but having a retainer that usually made of stainless steel. This type of tooth denture with exposed end of the stainless-steel retainer is sharp with thin pointed end might traumatised the mucosal wall lining the digestive tract by lacerating, puncturing and migrating to neighbouring structures or soft tissue (airway or nearby blood vessels). This can further lead to serious complications such as upper GI bleed, oesophageal perforation, tracheoesophageal fistula, tracheal injury, mediastinitis, deep neck abscess and bowel perforation. Immediate intervention is crucial once diagnosis is confirmed to prevent those complications. Here, we also elucidate a case of a double tooth wired denture ingestion in a 60-year-old male who complaint of dysphagia immediately after swallowing his denture. After confirming the presence of foreign body in both cases with neck X-Ray, emergency esophagoscopy done to remove the foreign body. Herein, highlighting the importance of immediate intervention and removal technique to prevent unwanted complications.

Authors

Publication Details

Journal
International Journal For Multidisciplinary Research
Published
2024-12-20
DOI
https://doi.org/10.36948/ijfmr.2024.v06i06.33388
Primary Topic
Foreign Body Medical Cases
Type
article
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article

Mis-Swallowing Sharp Pointed Object in the Esophagus: An Alarming Case Series

Sapowan Sanusi, Zaid Nailul Morad -
International Journal For Multidisciplinary Research
Foreign Body Medical Cases
article

Mis-Swallowing Sharp Pointed Object in the Esophagus: An Alarming Case Series

Sapowan Sanusi, Zaid Nailul Morad -
article en

Abstract

The majority cases of foreign body ingestion reported are usually children. This reflecting the tendency of children to use their mouth to explore their new surroundings and objects. While coins are the usual ingested foreign body in children, a brooch is the culprit for one of the cases we are reporting here. Denture ingestion, meanwhile, is one of the most common foreign body ingestions in adult. Acrylic denture is a type of denture made up of plastic material but having a retainer that usually made of stainless steel. This type of tooth denture with exposed end of the stainless-steel retainer is sharp with thin pointed end might traumatised the mucosal wall lining the digestive tract by lacerating, puncturing and migrating to neighbouring structures or soft tissue (airway or nearby blood vessels). This can further lead to serious complications such as upper GI bleed, oesophageal perforation, tracheoesophageal fistula, tracheal injury, mediastinitis, deep neck abscess and bowel perforation. Immediate intervention is crucial once diagnosis is confirmed to prevent those complications. Here, we also elucidate a case of a double tooth wired denture ingestion in a 60-year-old male who complaint of dysphagia immediately after swallowing his denture. After confirming the presence of foreign body in both cases with neck X-Ray, emergency esophagoscopy done to remove the foreign body. Herein, highlighting the importance of immediate intervention and removal technique to prevent unwanted complications.

International Journal For Multidisciplinary ResearchVol. 6(6)
Openalex Percentile: Top 59%
Foreign Body Medical Cases
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