Intestinal Obstruction Following Ingestion of Alginate Dental Impression Material
1Department of Emergency Medicine, Faculty of Medicine, Karabuk University, Karabuk, TURKEY
2Department of Emergency Medicine, Mersin City Training and Research Hospital, Mersin, TURKEY
3Department of Emergency Medicine, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, TURKEY
Online publish date: 29 June 2020
Introduction: No medical intervention is required for emergency department applications resulting from foreign body ingestion. Patients who need intervention are generally with complications such as obstruction, perforation or fistula. Alginate is a non-toxic and non-irritant substance that is elastic in the form of a paste preserving its elasticity under heat, which is used as a printing material for measuring the teeth in dental prosthesis applications . A case of ileus developing as a result of ingestion of alginate impression has been presented. Case report: A 74-year-old male patient presented to our emergency department due to abdominal pain nausea and vomiting . He described periumbilical pain and stated that he felt mild swelling. He had vomit one time and the content of vomit was what he had eaten. On physical examination, his abdomen was slightly distended, bowel sounds had increased slightly on auscultation and there was mild periumbilical tenderness with palpation, with no defence or rebound. On the abdominal CT evaluation, a homogeneous, lobulated, hyperintense foreign body image was detected in the distal ileus and distension in the small bowel loops proximal to the foreign body was interpreted. After general surgery consultation, distal ileal resection was performed and pink, homogenous, slightly soft charactered object was extrected. Later this object was understood to be alginate impression. Conclusion: Elderly patients in particular, ileus may occur due to foreign body associated with dental interventions, and in such cases, patients may need surgical intervention.
Ileus, Alginate, Dental, Intestinal obstruction
Bora Cekmen,Seref Emre Atis,Oner Bozan,Nese Kaya. Intestinal Obstruction Following Ingestion of Alginate Dental Impression Material. Signa Vitae. 2020.doi:10.22514/sv.2020.16.0037.
 Sheth P, Finkelstein E, Campbell D, et al. Imaging of foreign bodies in prisoners. Semin Ultrasound CT MR. 2015;36:28.
 Birk M, Bauerfeind P, Deprez PH, et al. Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy. 2016;48:489.
 V Vidyashree Nandini, K Vijay Venkatesh, K Chandrasekharan Nair. Alginate impressions: A practical perspective. J Conserv Dent. 2008;11:37-41.
 Tiwana KK, Morton T, Tiwana PS. Aspiration and ingestion in dental practice: A 10-year institutional review. J Am Dent Assoc 2004;135:1287-91.
 Cervino G., Fiorillo L., Herford AS., et al. Alginate materials and dental impression technique: A current state of the art and application to dental practice. Marine drugs. 2019;17:18.
 Cervino G., Fiorillo L., Arzukanyan AV., et al. Dental restorative digital workflow: Digital smile design from aesthetic to function. Dentistry journal. 2019;7:30.
 Yadav RK, Yadav HK, Chandra A, et al. Accidental aspira-tion/ingestion of foreign bodies in dentistry: A clinical and legal perspective. Natl J Maxillofac Surg. 2015;6:144-51.
 Basoglu OK, Buduneli N, Cagirici U, et al. Pulmonary aspiration of a two-unit bridge during a deep sleep. J Oral Rehabil. 2005;32:461-3.
 Adelman HC. Asphyxial deaths as a result of aspiration of dental appliances: A report of three cases. J Forensic Sci. 1988;33:389-95.
 Ikenberry SO, Jue TL, Anderson MA, et al. Management of ingested foreign bodies and food impactions. Gastrointest Endosc. 2011;73:1085-1091.
 Erbil B, Karaca MA, Aslaner MA, et al. Emergency admissions due to swallowed foreign bodies in adults. World J Gastroenterol. 2013;19:6447-6452.
 Palta R, Sahota A, Bemarki A, et al. Foreign-body ingestion: characteristics and outcomes in a lower socioeconomic popula-tion with predominantly intentional ingestion. Gastrointest Endosc. 2009;69:426-33.
 Smith MT, Wong RK. Foreign bodies. Gastrointest Endosc Clin N Am. 2007;17:361-82.
Science Citation Index Expanded (SciSearch) The Science Citation Index (SCI) is a citation index originally produced by the Institute for Scientific Information (ISI) and created by Eugene Garfield. It (Science Citation Index Expanded) covers more than 8,500 notable and significant journals, across 150 disciplines in science and technology, from 1900 to the present.
Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.
Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.
IndexCopernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.
Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.
Scopus Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.
Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.
Editorial review: 1 - 2 days
Peer review: 1 - 2 months
Ahead of Print: within 2 months after being accepted
Notes: Your information is kept confide-ntial throughout the review process.