Successful Management of a Chronic Retained Foreignbody and its Complications in the Esophagus-A Case report.

Abstract

Dentures are one of the common accidentally
ingested foreign bodies and
esophagus is one of the common site of
impaction in the gastrointestinal tract.
Retainment and impaction can cause
esophageal perforation and other dangerous
complications.31 years male presented
with history of dysphagia,
choking,loss of weight and recurrent
respiratory infections. He accidentally
swallowed a plastic denture 7 years
back and was initially symptom free and
now symptomatic for the past 2 years.
Investigations done confirmed the presence
of denture in the mid esophagus
and revealed associated esophagobronchial
fistula. Since the foreign body has
been retained for a long time and endoscopic
retraction can cause esophageal
tear, we decided to proceed with operative
exploration. Chest cavity entered
through Left postero-lateral thoracotomy.
Esophagotomy done and impacted FB
removed.Esophagotomy site closed in 2
layers.Lt bronchial
defect was not repaired because of dense
adhesions in the hilar region.Post operatively
patient lung function improved and
was tolerating normal diet.He was discharged
and he is on regular followup.High
index of suspicion,appropriate investigations
and optimum surgery are the key elements
in the management of complicated
foreign body