Retention of a Swallowed Dental Tool in the Small Bowel: Unusual Lodgment and Prolonged Conservative Management

Accidental ingestion of foreign bodies during dental procedures is relatively common, with the potential for serious complications, including intestinal perforations and severe pulmonary disorders. Our case report describes the prolonged, asymptomatic retention of a swallowed hex driver in the small...

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Main Authors: Ken Chapman Kigozi, Nevis Agirembabazi, Andrew Marvin Kanyike, Racheal Nalunkuma, Rachael Mukisa Nakandi, Simon Peter Nsingo, Robinson Ssebuufu
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/crid/5586308
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author Ken Chapman Kigozi
Nevis Agirembabazi
Andrew Marvin Kanyike
Racheal Nalunkuma
Rachael Mukisa Nakandi
Simon Peter Nsingo
Robinson Ssebuufu
author_facet Ken Chapman Kigozi
Nevis Agirembabazi
Andrew Marvin Kanyike
Racheal Nalunkuma
Rachael Mukisa Nakandi
Simon Peter Nsingo
Robinson Ssebuufu
author_sort Ken Chapman Kigozi
collection DOAJ
description Accidental ingestion of foreign bodies during dental procedures is relatively common, with the potential for serious complications, including intestinal perforations and severe pulmonary disorders. Our case report describes the prolonged, asymptomatic retention of a swallowed hex driver in the small bowel of a 38-year-old male, managed conservatively over an extended period. The patient, with a significant medical history of depression, was undergoing a dental procedure involving implant-supported restorations when the incident occurred. Initial x-rays confirmed the presence of the hex driver in the gastrointestinal tract. Despite its stationary position for over a week, it passed naturally without requiring invasive intervention. This case highlights the importance of individualized patient care and deferring recommendations for intervention in certain instances. We recommend a more individualized approach to managing ingested foreign bodies in dental settings, emphasizing the need for tailored strategies based on the patient’s specific circumstances and clinical stability.
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series Case Reports in Dentistry
spelling doaj-art-6e65712b391b4f418c7d8d06e625bfb92024-12-24T00:00:03ZengWileyCase Reports in Dentistry2090-64552024-01-01202410.1155/crid/5586308Retention of a Swallowed Dental Tool in the Small Bowel: Unusual Lodgment and Prolonged Conservative ManagementKen Chapman Kigozi0Nevis Agirembabazi1Andrew Marvin Kanyike2Racheal Nalunkuma3Rachael Mukisa Nakandi4Simon Peter Nsingo5Robinson Ssebuufu6Department of DentistryDepartment of DentistryDepartment of DentistryDepartment of DentistryDepartment of DentistryDepartment of DentistryDepartment of DentistryAccidental ingestion of foreign bodies during dental procedures is relatively common, with the potential for serious complications, including intestinal perforations and severe pulmonary disorders. Our case report describes the prolonged, asymptomatic retention of a swallowed hex driver in the small bowel of a 38-year-old male, managed conservatively over an extended period. The patient, with a significant medical history of depression, was undergoing a dental procedure involving implant-supported restorations when the incident occurred. Initial x-rays confirmed the presence of the hex driver in the gastrointestinal tract. Despite its stationary position for over a week, it passed naturally without requiring invasive intervention. This case highlights the importance of individualized patient care and deferring recommendations for intervention in certain instances. We recommend a more individualized approach to managing ingested foreign bodies in dental settings, emphasizing the need for tailored strategies based on the patient’s specific circumstances and clinical stability.http://dx.doi.org/10.1155/crid/5586308
spellingShingle Ken Chapman Kigozi
Nevis Agirembabazi
Andrew Marvin Kanyike
Racheal Nalunkuma
Rachael Mukisa Nakandi
Simon Peter Nsingo
Robinson Ssebuufu
Retention of a Swallowed Dental Tool in the Small Bowel: Unusual Lodgment and Prolonged Conservative Management
Case Reports in Dentistry
title Retention of a Swallowed Dental Tool in the Small Bowel: Unusual Lodgment and Prolonged Conservative Management
title_full Retention of a Swallowed Dental Tool in the Small Bowel: Unusual Lodgment and Prolonged Conservative Management
title_fullStr Retention of a Swallowed Dental Tool in the Small Bowel: Unusual Lodgment and Prolonged Conservative Management
title_full_unstemmed Retention of a Swallowed Dental Tool in the Small Bowel: Unusual Lodgment and Prolonged Conservative Management
title_short Retention of a Swallowed Dental Tool in the Small Bowel: Unusual Lodgment and Prolonged Conservative Management
title_sort retention of a swallowed dental tool in the small bowel unusual lodgment and prolonged conservative management
url http://dx.doi.org/10.1155/crid/5586308
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