JRSM > Volume 97, Number 4 > Pp. 206-207

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Dentures in a small-bowel stricture

Daniel R Leff¹ Andrew Willis²   Donald Menzies³

¹ Northwick Park Hospital, Harrow HA1 3UJ
² Essex Rivers NHS Trust
³ Colchester General Hospital, Colchester, UK

E-mail: danielrleff{at}doctors.org.uk

Mr Hashmi and his colleagues review the hazards of swallowed or inhaled partial dentures (February 2004 JRSM¹). Here we report such an episode with possibly beneficial consequences.

The patient was seen after two weeks of abdominal pain, distension, nausea and vomiting, and constipation. He had lost 4 kg over the past two months. There was a history of coeliac disease. Barium follow-through showed gross dilatation of the stomach, duodenum and proximal jejunum, and a C-shaped foreign body was noted in a site consistent with the mid-jejunum (Figure 1). At mini-laparotomy the stricture was excised with end-to-end anastomosis. When opened, it proved to contain part of a denture. Nevertheless, the specimen was sent for histopathological examination. To our surprise, the findings included not only a broad area of severe dysplasia but also, at the stricture, a poorly differentiated adenocarcinoma of the small bowel. How long would this complication of coeliac disease have gone undetected without the intervention of the dentures?

View larger version (163K): [in this window] [in a new window]   Figure 1. Barium follow-through

 

Acknowledgments

We thank Mr Peter McDonald for his help with this report.

REFERENCES

1. Hashmi S, Walter J, Smith W, Latis S. Swallowed partial dentures. J R Soc Med2004; 97:72 -5[Abstract/Free Full Text]

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This Article Figures Only Full Text (PDF) Send a Quick Comment Alert me when this article is cited Alert me when Quick Comments are posted Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Leff, D. R Articles by Menzies, D. Search for Related Content PubMed PubMed Citation Social Bookmarking                      What's this?