Swallowed dental bridge causing ileal perforation: a case report
© Rashid et al; licensee BioMed Central Ltd. 2008
Received: 25 September 2008
Accepted: 12 December 2008
Published: 12 December 2008
We report the case of a 53 year old gentleman who had accidentally swallowed his dental bridge. One week following this he experienced a sudden onset of generalised abdominal pain and underwent laparotomy. At operation he was found to have a distal ileal perforation and an ileocaecal resection was performed. Although most swallowed foreign bodies pass through the gastrointestinal tract without problem, serious complications including intestinal perforation can occur.
Swallowed foreign bodies are not an uncommon occurrence but fortunately most pass through the gastrointestinal tract without complication. We present a rare case of a swallowed dental bridge which led to intestinal perforation necessitating an ileocaecal resection.
The accidental or deliberate ingestion of foreign bodies is not an uncommon occurrence although fortunately most pass through the gastrointestinal tract without problem. The typical zones of foreign body impaction areas of relative anatomical or physiological narrowings such as the upper and lower oesophageal sphincters, pylorus, duodenum, ileocaecal valve, appendix, sigmoid colon and anus. Although wearing dentures can lead to loss of sensation within the oral cavity and increase the likelihood of accidental ingestion of foreign bodies, swallowing dental prosthesis themselves can lead to problems and previously reported cases include tracheoesophageal fistula and perforation of the colon. However, due to the wide variety of dental prostheses it is difficult to advocate a management to cover all scenarios but as this case suggests, serious complications requiring operative intervention can occur.
Although most swallowed foreign pass through the gastrointestinal tract without problem serious complications including intestinal perforation can occur.
Written informed consent was obtained from the patient for publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.
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