Isolated gastric rupture due to blunt trauma is an extremely rare entity in traumatology where the diagnosis can be extremely uncertain. Patients may be lulled into a false sense of security and present late which can be detrimental. Expedient treatment is life saving in this condition which can associated with high morbidity and mortality. We wish to present an interesting case of isolated gastric rupture in an adolescent with a late presentation to the trauma service due to the innocuous nature of the initial injury implying the importance of early time to intervention in their management.
Dentures are an important cause of impaction in the Gastrointestinal tract especially in the elderly. These impacted dentures may be frequently overlooked due to their radiolucency and are frequently not amenable for endoscopic retrieval necessitating surgery for retrieval of these foreign bodies. The aim of this study is to describe the type of impaction, site, consequences and time interval to therapeutic intervention including the type of intervention and outcomes after accidental swallowing of dentures in a tertiary care referral hospital and assess the same in published medical literature throughout the world. From our experience, it is seen that dentures impacted in the cervical esophagus present earlier than those impacted in the thoracic esophagus as they are more symptomatic. Leaks at the primary closure site are more common in the cervical than thoracic esophagus which fortunately are more self-limiting and easily managed than thoracic leaks.
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