Skip to main content

Table 1 Review of literature on duodenal obstruction or perforation after ingestion of denture

From: Duodenal obstruction due to accidental swallowing of a dental prosthesis: a case report and review of the literature

Case

Country, year of study [reference]

Age

(years)

Sex

Risk factors

Comorbid diseases

Chief complaints

Physical examination

Abdominal radiology

Endoscopy for extraction

Location

Complications

Surgery

1

Japan, 2003 [9]

82

Male

Not mentioned

BPH

No discharged ingested denture for 3 days

Mild tenderness in epigastric area

 Serial x-rays showed that the denture didn't move forwards.

Performed without success

Horizontal part of duodenum

Perforation

Duodenotomy

2

India, 2006 [10]

59

Male

Not mentioned

Not mentioned

Pain in the right upper abdomen after accidental swallowing of a denture 2 weeks earlier

Tender, firm, and fixed lump measuring 6 × 8 cm in right hypochondrium with smooth surface

X-ray was not mentioned; CT scan revealed pathology in duodenum

Ulceration in first part of duodenum

Third part of duodenum

Necrotic mass in mesentery of thickened third part of duodenum (penetration)

Not done (surgical exploration was advised, but patient refused)

3

Japan, 2010 [11]

49

Male

Mental retardation

Not mentioned

Abdominal pain

Supraumbilical abdominal tenderness + high-grade fever

X-ray showed radiopaque object; CT scan showed foreign body in duodenum + free air and fluid collection in retroperitoneal space around duodenum

Not performed

Posterior wall of duodenum

Perforation

Laparotomy, closure of perforation, cholecystectomy, T-tube drainage, and gastrostomy, followed by intraperitoneal irrigation and drain placement near perforation

4

Turkey, 2011 [12]

33

Male

Schizophrenia, poor oral and dental hygiene

Negative

Acute abdominal pain, bilious vomit, and nausea

Mild abdominal tenderness

X-ray showed radiopaque object

Performed without success

Third part of duodenum

Obstruction

Gastrostomy

5

Pakistan, 2017 [13]

63

Male

Senile

dementia, poorly fitting dentures, and poor oral and dental hygiene

COPD, musculoskeletal

Acute abdominal pain

Abdominal distension + generalized

guarding

X-ray showed air under the diaphragm

+ radiopaque object in upper right quadrant of abdomen

Not performed

Second part of duodenum

Obstruction, perforation, and frank peritonitis

Duodenotomy + feeding

jejunostomy

6

China, 2019 [14]

69

Male

Alzheimer disease

Not mentioned

Dysphagia, epigastric pain, bilious vomiting, and severe nausea

No pathological findings

Irregular densification in right middle abdomen; CT scan showed prosthesis

Performed with success

Descending part of duodenum

Impaction of denture in duodenum

Not done (successfully brought out with endoscopy)

7

Iran, 2019 (our patient)

47

Female

Old dental prosthesis and poor oral and dental hygiene

Asthma, migraine headache

Epigastric abdominal pain, nausea, vomiting, and anorexia

Severe epigastric and mild right upper quadrant abdominal tenderness

X-ray showed nothing; CT scan revealed pathology in duodenum

Performed without success

Second and third parts of duodenum

Both obstruction and perforation

Gastrostomy and duodenal kocherization

  1. Abbreviations: COPD Chronic obstructive pulmonary disease, CT Computed tomography, BPH Benign prostatic hyperplasia