Denture esophageal impaction refractory to endoscopic removal in a psychiatric patient

Impaction of dental prostheses is frequently encountered in psychiatric patients. These patients may present an especially challenging problem because the diagnosis may be delayed, resulting in increased morbidity and mortality. Delay in diagnosis in such patients has been attributed to their inabil...

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Bibliographic Details
Published in:The Journal of emergency medicine 2000-04, Vol.18 (3), p.323-326
Main Authors: Stiles, Brendon M, Wilson, Wayne H, Bridges, Matthew A, Choudhury, Arindam, Rivera-Arias, Jorge, Nguyen, Diem B, Edlich, Richard F
Format: Article
Language:English
Subjects:
Biological and medical sciences
Dental Prosthesis
Emergency Service, Hospital
Esophagoscopy - methods
Esophagus
Foreign Bodies - complications
Foreign Bodies - diagnosis
Foreign Bodies - surgery
foreign body
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Male
Medical sciences
Mental Disorders - complications
Middle Aged
Other diseases. Semiology
psychiatric patient
Surgical Procedures, Operative - methods
Treatment Outcome
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Summary:Impaction of dental prostheses is frequently encountered in psychiatric patients. These patients may present an especially challenging problem because the diagnosis may be delayed, resulting in increased morbidity and mortality. Delay in diagnosis in such patients has been attributed to their inability to give a reliable clinical history. In addition, radiolucent dentures cannot be easily detected by radiographic examination. The purpose of this report is to describe a psychiatric patient with an impacted radiopaque dental prosthesis that was refractory to endoscopic intervention. An esophagotomy was needed to successfully remove the foreign body.
ISSN:0736-4679
2352-5029
DOI:10.1016/S0736-4679(99)00222-X