An unusual case of swallowed dental plate and perforation of the sigmoid colon

Abstract

A case of swallowed dental plate is described in which impaction and perforation occurred in the sigmoid colon. This was treated by resection and end‐to‐end anastomosis combined with transverse colostomy.

Swallowed partial dentures

“…10 Reported late complications of the undiagnosed swallowed denture include extraluminal migration from the oesophagus causing either a diverticulum 11 or perforation 12 (once a perforation has occurred, further severe sequelae may be anticipated, e.g. tracheo-oesophageal fistula 13 ), the need to resect 18 cm of ileum, 14 enterocolonic fistula 15 and sigmoid colon perforation 16,17 .…”

Survey of Accidental Ingestion and Aspiration at Tokyo Dental College Chiba Hospital

“…Action in response to accidental ingestion was carried out smoothly, but it still accounts for a large proportion of the annual number of accidents. The ingestion of foreign bodies may induce symptoms of digestive organ injury, and aspiration may cause severe disorders, such as respiratory disorder and pneumonia [2][3][4][5][6][7][8]10,11,13,[15][16][17][18][19][21][22][23][24] . The prevention of accidental ingestion/aspiration may be an urgent task in the dental care field.…”

Swallowed dental bridge causing ileal perforation

“…Although wearing dentures can lead to loss of sensation within the oral cavity and increase the likelihood of accidental ingestion of foreign bodies, [1] swallowing dental prosthesis themselves can lead to problems and previously reported cases include tracheoesophageal fi stula [2] and perforation of the colon. [3] However, due to the wide variety of dental prostheses, it is diffi cult to advocate a management to cover all scenarios but as this case suggests, serious complications requiring operative intervention can occur.…”