開胸にて摘出した義歯食道異物症例

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  • A Case of the Removal of an Esophageal Foreign Body (Dental Prosthesis) by Thoracotomy.

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A case of the removal of an esophageal foreign body (dental prosthesis) by thoracotomy was reported. The patient was a 63-year-old male who had complained of odynophagia after swallowing a dental prosthesis by mistake. Chest X-ray examination showed a foreign body having four sharp clasps. Emergency direct esophagoscopy was carried out, but the foreign body could not be removed due to the probable depression of the clasps in the esophageal membrane. Therefore, thoracotomy was performed under general anesthesia. Opening the mediastinum, there was a bloody serous exudate. The esophageal wall was continuously incised, and a part of the dental prosthesis was cut off with a pair of pliers. The remainder of the foreign body was easily removed by esophagoscopy. Thoracic drainage and chemotherapy were continued, and esophagography was carried out two weeks after the operation. The patient was discharged without complications.

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