Oesophageal perforation secondary to denture ingestion requiring thoracotomy and T-tube placement: a rare case report.
5 affiliations
- 1Department of General Surgery, University Hospitals of Leicester NHS Trust, Infirmary Square, Leicester, LE1 5WW, United Kingdom.
- 2Department of Surgery, Indiana University, Emerson Hall, 545 Barnhill Drive, Indianapolis, IN, 46202, United States.
- 3Department of Hepatopancreatobiliary Surgery, University Hospitals of Leicester NHS Trust, Groby Rd, Leicester, LE3 9QP, United Kingdom.
- 4Hepatopancreatobiliary Surgery-General Surgery Department, Al-Balqa Applied University, As-Salt, 19117, Jordan.
- 5Department of General and Upper Gastrointestinal Surgery, University Hospitals of Leicester NHS Trust, Infirmary Square, Leicester, LE1 5WW, United Kingdom.
Abstract
Oesophageal perforation from foreign body ingestion is a life-threatening emergency. Dentures pose particular risk due to irregular shape, size, and radiolucency. We present a 69-year-old female who accidentally ingested a denture. Radiography identified the foreign body at C4/C5. Endoscopic retrieval failed due to mucosal embedding, and a through-and-through oesophageal tear was confirmed. She underwent emergency right thoracotomy with denture retrieval. Given localized inflammation, a 4 cm perforation, and pneumomediastinum, a T-tube was placed across the defect instead of primary repair. Post-operatively, she required intensive care, enteral feeding, and prolonged chest drainage. Recovery was complicated by suspected mediastinitis, candidiasis, and deconditioning, but she ultimately tolerated oral intake and was discharged. In complex thoracic OP with inflammation or a large defect, T-tube placement offers a reliable, oesophagus-preserving alternative to primary repair. This case highlights the diagnostic challenges of radiolucent dentures and the importance of multidisciplinary decision-making.
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BibTeX
@article{baronos2026oesophageal,
title = {{Oesophageal perforation secondary to denture ingestion requiring thoracotomy and T-tube placement: a rare case report.}},
author = {Konstantinos Baronos and Seohyun Lee and Sara Arshad and Marios Alogakos and Rami Ayoub and Christopher Sutton and David Bowrey},
journal = {Journal of surgical case reports},
year = {2026},
month = oct,
doi = {10.1093/jscr/rjag950},
url = {https://europepmc.org/article/MED/42948783},
note = {CC BY},
}
RIS
TY - JOUR
TI - Oesophageal perforation secondary to denture ingestion requiring thoracotomy and T-tube placement: a rare case report.
AU - Konstantinos Baronos
AU - Seohyun Lee
AU - Sara Arshad
AU - Marios Alogakos
AU - Rami Ayoub
AU - Christopher Sutton
AU - David Bowrey
PY - 2026
DA - 2026/10/27
JO - Journal of surgical case reports
DO - 10.1093/jscr/rjag950
UR - https://europepmc.org/article/MED/42948783
AB - Oesophageal perforation from foreign body ingestion is a life-threatening emergency. Dentures pose particular risk due to irregular shape, size, and radiolucency. We present a 69-year-old female who accidentally ingested a denture. Radiography identified the foreign body at C4/C5. Endoscopic retrieval failed due to mucosal embedding, and a through-and-through oesophageal tear was confirmed. She underwent emergency right thoracotomy with denture retrieval. Given localized inflammation, a 4 cm perforation, and pneumomediastinum, a T-tube was placed across the defect instead of primary repair. Post-operatively, she required intensive care, enteral feeding, and prolonged chest drainage. Recovery was complicated by suspected mediastinitis, candidiasis, and deconditioning, but she ultimately tolerated oral intake and was discharged. In complex thoracic OP with inflammation or a large defect, T-tube placement offers a reliable, oesophagus-preserving alternative to primary repair. This case highlights the diagnostic challenges of radiolucent dentures and the importance of multidisciplinary decision-making.
SN - 2042-8812
ER -