title: [Denture impaction in the thoracic esophagus: surgical treatment - a case report].
abstract: Esophageal foreign body impaction is mostly managed with endoscopic retrieval. However, in cases of large or irregularly shaped foreign bodies, or in cases of long standing impaction, this technique carries a high risk of perforation and a surgical approach is often mandatory.The authors report the case of a 55 year old woman, with a past history of mental retardation, presenting with dysphagia for solid food and regurgitation beginning one month earlier. After failed extraction by flexible esophagoscopy,the denture was removed by esophagotomy through a postero-lateral thoracotomy. In the postoperative period the patient developed a leakage of the suture line with resultant esophago-pleural fistula which was managed with double esophageal exclusion. She was discharged on the 40th postoperative day on semi-solid diet and is presently (eight months after the first surgery) symptom free.
authors: Serviço de Cirurgia A dos Hospitais da Universidade de Coimbra, Centro Hospitalar e Universitário de Coimbra - Clínica Universitária de Cirurgia 3 da Faculdade de Medicina da Universidade de Coimbra, Portugal.
authors: Henrique
authors: H
authors: Alexandrino
authors: Miguel
authors: M
authors: Fernandes
authors: Luis
authors: L
authors: Ferreira
authors: J Guilherme
authors: JG
authors: Tralhão
authors: Francisco
authors: F
authors: Castro E Sousa
mesh_terms: D003680:Deglutition Disorders / Q000209:etiology; D003778:Dentures; D004937:Esophageal Fistula / Q000209:etiology / Q000601:surgery; D004945:Esophagoscopy / Q000379:methods; D004946:Esophagostomy / Q000379:methods; D004947:Esophagus / Q000473:pathology*; D005260:Female; D005547:Foreign Bodies / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D013908:Thoracotomy / Q000379:methods*