A Rare Case of Oesophageal Denture Impaction with Suspected Oesophago-Bronchial Fistula in a Patient with Retroviral Disease —Case Report and Literature Review

Accidentally swallowed dentures can lead to severe complications in the gastrointestinal tract- especially the oesophagus. Therefore, an early diagnosis and institution of an effective therapeutic approach are of utmost importance. Though the primary treatment of an impacted foreign body in the oesophagus is an endoscopic removal, a primary surgical treatment is advised for dentures with sharp hooks especially due to the increased complication rates. Here in we are report a case of accidentally swallowed denture with delayed presentation in a female patient with retroviral disease. Attempts at endoscopic removal was not successful and transhiatal oesophagotomy was done by cardiothoracic unit. There was suspected oesophago-bronchial fistula as patient developed cough which necessitated percutaneous endoscopic gastrostomy tube placement. This case highlights the importance of an early and preferred treatment in the form of a controlled surgical intervention as compared to an endoscopic extraction for patients with impacted dentures with sharp hooks.