• Ranran Zhang, Jiahui Hao, Haiyan Liu, Hongfu Gao, and Chengxia Liu.
• Department of Gastroenterology, Binzhou Medical University Hospital, Binzhou, Shandong, P. R. China.
• Medicine (Baltimore). 2023 Oct 13; 102 (41): e35426e35426.

RationaleForeign body (FB) ingestion is a common clinical emergency, although in most cases, the FB can pass safely through the entire gastrointestinal tract without causing any damage. However, ingestion of large dentures is very rare and alarming, as it can threaten the intestinal mucosa and cause perforation of the gastrointestinal tract, among other complications.Patient ConcernsA 64-year-old Chinese male was referred to our hospital for removal of a FB, which was a large denture. Clinical symptoms included chest and upper abdominal pain. He had no cough or dyspnea. Medical history included a recent cerebral infarction, craniocerebral surgery, and being bedridden for a long term.DiagnosesWe initially suspected a single and smooth denture, complicated by pharyngeal and esophageal mucosal injury. Radiographic examination however showed a 70-mm long opaque object located in the middle and upper esophagus, close to the trachea and aorta.InterventionsMultiple dentures and metal hooks were removed via endoscopy using a net, grasping forceps, and rubber jacket.OutcomesThe patient recovered well and experienced no postoperative complications. The patient was discharged 5 days after endoscopic therapy.LessonsOur case showed that endoscopy was effective for the retrieval of an esophageal FB. For sharp FBs, the use of a net and rubber jacket is a good choice. However, we advocate for appropriate surgery in patients in whom endoscopy is not possible after an accurate diagnosis or those with severe complications.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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