Korean J Anesthesiol.  2005 Dec;49(6):904-907. 10.4097/kjae.2005.49.6.904.

Esophageal Perforation due to an Impaction of Omitted Dental Prosthesis after General Anesthesia: A case report

• Lee KM
• Bae WJ
• Lim SH
• Lee JH
• Cheong SH
• Choe YK
• Kim YJ
• Shin CM

• KMID: 1894338
• DOI: http://doi.org/10.4097/kjae.2005.49.6.904

Abstract

Foreign body ingestion induces various complications during the induction of and emergence from anesthesia. These complications include inconsequential mucosal scratches, abrasion, laceration, esophageal stricture, necrosis, retropharyngeal abscess formation, hemorrhage, obstruction and perforation. We experienced a case of esophageal perforation after ingestion of a dental prosthesis during emergence. A 71-year-old female patient received general anesthesia for a lumbar laminectomy. At postanesthesia care unit, she complained of a sore throat and found that her dental prosthesis was missing. The impacted dental prosthesis was found at the T7 level, which was followed due to its perforation through the esophageal wall, causing mediastinitis. She underwent an operation for the esophageal repair and was discharged with slight chest discomfort due to operation, after 10 days.

Keyword

dental prosthesis; esophageal perforation; impaction

MeSH Terms

Aged
Anesthesia
Anesthesia, General*
Dental Prosthesis*
Eating
Esophageal Perforation*
Esophageal Stenosis
Female
Foreign Bodies
Hemorrhage
Humans
Lacerations
Laminectomy
Mediastinitis
Necrosis
Pharyngitis
Retropharyngeal Abscess
Thorax