A swallowed denture leading to misdiagnosis with esophageal neoplasm: a case report

TL;DR

A 78-year-old woman swallowed a denture, causing symptoms mistaken for esophageal cancer, but it was successfully removed after proper diagnosis.

Contribution

This case highlights the importance of accurate diagnosis in esophageal foreign body ingestion to avoid misdiagnosis of neoplasms.

Findings

A swallowed denture was initially misdiagnosed as an esophageal neoplasm based on endoscopic findings.

CT scan and repeat endoscopy confirmed the presence of the denture, which was successfully removed.

Follow-up visits showed no complications after the denture removal.

Abstract

Foreign body ingestion can lead to esophageal complications, including perforation and impaction, in up to 20% of cases, making it a critical situation. Misdiagnosis or delayed diagnosis can cause severe complications.

We present the case of a 78-year-old female who swallowed an acrylic partial denture leading to progressive dysphagia and a vegetative ulcerative lesion on endoscopy. The lesion was initially misdiagnosed as a neoplasm of the esophagus. CT scan and a repeat endoscopy revealed the presence of a denture in the esophagus. The denture was successfully removed with a rigid esophagoscope, and no evidence of complications was reported in follow-up visits.

Diagnosis of esophageal foreign bodies involves imaging studies and endoscopy, which is the gold standard for diagnosis and management. CT scans also have an important role in diagnosing controversial cases. Treatment depends on the size, shape, and location of the object.

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