A 60-year-old woman with autism and a repetitive swallowing behavior ingested a removable partial denture that impacted in the proximal esophagus. Attempts at endoscopic removal were unsuccessful. Esophageal perforation was recognized, necessitating emergency transcervical surgical exploration, esophagotomy with foreign body removal, and repair of the esophageal perforation. She had a prolonged postoperative stay involving mechanical ventilatory support and gastric tube feeds. This situation was predictable and preventable, and application of key principles may help avoid such catastrophic incidents in similar patients.

中文翻译：

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自闭症患者摄入可摘局部义齿导致食管穿孔：处理和预防

一名患有自闭症和重复吞咽行为的 60 岁女性吞下了一个可摘局部义齿，该义齿在近端食道中产生了影响。内窥镜取出的尝试没有成功。发现食管穿孔，需要紧急经宫颈手术探查、食管切开术和异物清除，以及食管穿孔修复。她的术后住院时间延长，包括机械通气支持和胃管喂养。这种情况是可以预测和预防的，关键原则的应用可能有助于避免类似患者发生此类灾难性事件。