Tarkan KARAKAN, Gürol ÖKSÜZOĞLU, Ahmet GÖRGÜL, Yüksel ATEŞ

Endoscopic removal of a dental prosthesis from the cecum

Bu olgu sunumunda, altı adet dişden oluşan bir protezin yanlışlıkla yutulması sonucu cerrahi dışı yöntemlerle tedavi edilmesi konu edilmektedir. Protezin gastrointestinal kanaldaki seyri günlük olarak direkt abdominal grafılerle takip edildi ve protezin 3. gün sağ alt kadranda kaldığı izlendi. Bunun üzerine yapılan kolonoskopide protezin çekum bölgesinde durduğu görüldü. Kolonoskopik olarak protez başarıyla çıkarıldı. Sonuç olarak yazımızda karsaklarda yer alan yabancı cisimlerin potansiyel komplikasyonları ve cerrahi dışı yollarla çıkarılmaları tartışılmıştır.

Endoskopik olarak çekum bölgesindeki diş protezinin çıkarılması: Olgu sunumu

We describe an accidentally swallowed dental prosthesis, which was composed of six teeth. The descent of the prosthesis was followed by plain abdominal radiography, but it stopped on its way at the right lower quadrant on day three. Colonoscopy revealed that it was in the cecum and, using a basket, it was removed successfully. Potential complications of foreign bodies in the intestine and successful extraction of them without surgical interventions are discussed.

PDF

___

1. Cockerill FR, Wilson RW, Van Scoy RE. Traveling toothpicks. Mayo Clin Proc 1983; 58: 613-616,
2. Jungling G, Wiessner V, Gebhardt C, Zeitler E, Wunsch PH. Enterocolic fistula due to foreign body perforation. Dtsch Med Wochenschr 1994; 119: 63-66.
3. Schwartz JT, Graham DY. Toothpick peforation of the intestines. Ann Surg 1977; 185: 64-66.
4. Wilson RT, Dean PT, Lewis M. Aortoesophageal fistula due to a foreign body. Gastrointest Endosc 1987; 33: 448-450.
5. Selivanov V, Sheldon GF, Cello JP, Crass RA. Management of foreign body ingestion. Ann Surg 1984; 199: 187-191.
6. Hauser H, Pfeifer J, Uranus S, Klimpfınger M. Perforation of the cecum by a toothpick. Langenbecks Arch Chir 1994; 379: 229-232.
7. Oehler JR, Dent TL, Ibrahim MA, Gracie WA. Endoscopic identification and removal of an unusual symptomatic colonic foreign body. Dig Dis Sci 1979; 24: 237-239.
8. Richter RR, Littman L. Endoscopic extraction of an unusual colonic foreign body. Gastrointest Endosc 1975;22: 40-41.
9. Yolen SR, Gossman ET. Colonoscopic removal of a postoperative foreign body. J Clin Gastroenterol 1989; 11:483-484.
10. Forde KA. Therapeutic colonoscopy. World J Surg 1992;16:1048-1053.
11. Maleki M, Evans WE. Foreign body perforation of the intestinal tract. Arch Surg 1970; 101: 475-477.
12. McCray RS. Foreign body endoscopy. Gastrointest Endosc 1981; 27: 236-237.
13. Sorenson RM, Bond JH. Colonoscopic removal of a foreign body from the cecum. Gastrointest Endosc 1975; 21: 134-135.
14. Rogers BHG. Colonoscopic retrieval of an arrested long intestinal tube. Gastrointest Endosc 1984; 30: 200-202.