Impaction of swallowed dentures in the sigmoid colon requiring sigmoid colectomy

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dc.contributor.authorFlanagan, Michael
dc.contributor.authorClancy, Cillian
dc.contributor.authorO'Riordain, Micheal G.
dc.date.accessioned2018-09-24T12:36:58Z
dc.date.available2018-09-24T12:36:58Z
dc.date.issued2018
dc.description.abstractINTRODUCTION: 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.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationFlanagan, 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.2018.04.033en
dc.identifier.doi10.1016/j.ijscr.2018.04.033
dc.identifier.endpage91
dc.identifier.issn2210-2612
dc.identifier.journaltitleInternational Journal of Surgery Case Reportsen
dc.identifier.startpage89
dc.identifier.urihttps://hdl.handle.net/10468/6876
dc.identifier.volume47
dc.language.isoenen
dc.publisherElsevier Ltden
dc.relation.urihttps://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.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectCase reporten
dc.subjectForeign bodyen
dc.subjectDental plateen
dc.subjectSigmoid colectomyen
dc.titleImpaction of swallowed dentures in the sigmoid colon requiring sigmoid colectomyen
dc.typeArticle (peer-reviewed)en
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