关键词: Case Report Dentures Dysphagia Endoscopy Esophageal foreign bodies Misdiagnosis

来  源:   DOI:10.1093/omcr/omae047   PDF(Pubmed)

Abstract:
UNASSIGNED: Foreign body ingestion can lead to esophageal complications, including perforation and impaction, in up to 20% of cases, making it a critical situation. Misdiagnosis or delayed diagnosis can cause severe complications.
UNASSIGNED: We present the case of a 78-year-old female who swallowed an acrylic partial denture leading to progressive dysphagia and a vegetative ulcerative lesion on endoscopy. The lesion was initially misdiagnosed as a neoplasm of the esophagus. CT scan and a repeat endoscopy revealed the presence of a denture in the esophagus. The denture was successfully removed with a rigid esophagoscope, and no evidence of complications was reported in follow-up visits.
UNASSIGNED: Diagnosis of esophageal foreign bodies involves imaging studies and endoscopy, which is the gold standard for diagnosis and management. CT scans also have an important role in diagnosing controversial cases. Treatment depends on the size, shape, and location of the object.
摘要:
异物摄入会导致食道并发症,包括穿孔和嵌塞,在高达20%的案例中,使它成为一个关键的情况。误诊或延误诊断可引起严重并发症。
我们介绍了一例78岁的女性,她吞下丙烯酸类局部义齿,导致进行性吞咽困难和胃镜检查的植物性溃疡性病变。该病变最初被误诊为食管肿瘤。CT扫描和重复内窥镜检查显示食道中存在义齿。用坚硬的食道镜成功摘除了义齿,随访中没有并发症的证据.
食管异物的诊断涉及影像学检查和内窥镜检查,这是诊断和管理的黄金标准。CT扫描在诊断有争议的病例中也有重要作用。治疗取决于大小,形状,和对象的位置。
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