| Title: |
Denture as an unexpected cause of obstructive jaundice |
| Authors: |
Pezzoli, A; Cifalà, V; Pizzo, E; Solimando, R; Simone, L; Arena, R; Merighi, A |
| Source: |
Endoscopy , 53 (12) e472-e473. (2021) |
| Publication Year: |
2021 |
| Collection: |
University College London: UCL Discovery |
| Description: |
A 78-year-old woman who presented with jaundice and fever was referred from another hospital to our endoscopy unit. Her laboratory tests revealed a total bilirubin concentration of 11.7 µmol/L. Computed tomography (CT) scans revealed dilatation of the main biliary duct and the presence of a foreign body in the peripapillary area ([Fig. 1]). The appearance of the foreign body was suggestive of a denture, and the patient reported having involuntary ingested, 3 days previously, a denture that had been implanted many years ago. We performed an endoscopic retrograde cholangiopancreatography (ERCP), which revealed a protruding papilla with the appearance of an impacted stone. We started to perform a sphincterotomy using a precut needle-knife and completed it with a standard sphincterotome. After this, the denture was immediately expelled and allowed to pass into the duodenum ([Video 1]). In the following days, the patient’s total bilirubin level decreased and she was discharged home. |
| Document Type: |
article in journal/newspaper |
| File Description: |
text |
| Language: |
English |
| Relation: |
https://discovery.ucl.ac.uk/id/eprint/10134186/1/Pizzo_Denture%20Pezzoli.pdf; https://discovery.ucl.ac.uk/id/eprint/10134186/ |
| Availability: |
https://discovery.ucl.ac.uk/id/eprint/10134186/1/Pizzo_Denture%20Pezzoli.pdf; https://discovery.ucl.ac.uk/id/eprint/10134186/ |
| Rights: |
open |
| Accession Number: |
edsbas.7D3BCC83 |
| Database: |
BASE |