Impaction of swallowed dentures in the sigmoid colon requiring sigmoid colectomy

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dc.contributor.author Flanagan, Michael
dc.contributor.author Clancy, Cillian
dc.contributor.author O'Riordain, Micheal G.
dc.date.accessioned 2018-09-24T12:36:58Z
dc.date.available 2018-09-24T12:36:58Z
dc.date.issued 2018
dc.identifier.citation Flanagan, M., Clancy, C. and O'Riordain, M. G. (2018) 'Impaction of swallowed dentures in the sigmoid colon requiring sigmoid colectomy', International Journal of Surgery Case Reports, 47, pp. 89-91. doi: 10.1016/j.ijscr.2018.04.033 en
dc.identifier.volume 47
dc.identifier.startpage 89
dc.identifier.endpage 91
dc.identifier.issn 2210-2612
dc.identifier.uri http://hdl.handle.net/10468/6876
dc.identifier.doi 10.1016/j.ijscr.2018.04.033
dc.description.abstract 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. (C) 2018 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. This is an open access article under the CC BY-NC-ND license. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Elsevier Ltd en
dc.relation.uri https://www.sciencedirect.com/science/article/pii/S2210261218301597
dc.rights © 2018, Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). en
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject Case report en
dc.subject Foreign body en
dc.subject Dental plate en
dc.subject Sigmoid colectomy en
dc.title Impaction of swallowed dentures in the sigmoid colon requiring sigmoid colectomy en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Micheal O'Riordain, Surgery, University College Cork, Cork, Ireland. +353-21-490-3000 Email: micheal.oriordain@ucc.ie en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.description.status Peer reviewed en
dc.identifier.journaltitle International Journal of Surgery Case Reports en
dc.internal.IRISemailaddress micheal.oriordain@ucc.ie en


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© 2018, Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Except where otherwise noted, this item's license is described as © 2018, Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
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