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AJNR - American Journal of Neuroradiology

Published ahead of print on September 20, 2007
doi: 10.3174/ajnr.A0658

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Unsuspected Swallowing of a Partial Denture

A. Haidary^a, J.S. Leider^b,c and R. Silbergleit^a

^a Department of Diagnostic Radiology, William Beaumont Hospital, Royal Oak, Mich
^b Department of Otolaryngology, William Beaumont Hospital, Royal Oak, Mich
^c Department of Otolaryngology, Wayne State University, Detroit, Mich

View larger version (49K): [in this window] [in a new window]   Fig 1 A,B. Contrast-enhanced CT scan of the neck demonstrates extensive soft tissue edema. At the level of the vocal cords, there is a linear attenuation (arrow on A), which was not initially noted but, in retrospect, is felt to likely represent the base plate of the partial denture. In addition, a radiopaque attenuation (arrow on B) is seen in the esophagus at the level of the thoracic inlet, likely representing a tooth.

View larger version (195K): [in this window] [in a new window]   Fig 2. Retrieved removable partial denture.

View larger version (112K): [in this window] [in a new window]   Fig 3. Water-soluble esophagram (Omnipaque 240; GE Healthcare, Piscataway, NJ) demonstrates a small intramural tear (arrow) of the cervical esophagus at the C5 level with contrast extravasation.