CTICasesSwallowed/Aspirated Tooth post-Intubation
Imaging findings
Chest radiographs show a dense, calcified foreign body resembling a molar tooth projecting left of the midline in the chest. Subsequent radiographs track the tooth as it passes down into the stomach, and pre-intubation CT confirms a loose, severely carious molar that was dislodged during emergency intubation.
Key takeaways
Mechanical dislodgement of loose or decayed teeth is a well-recognized hazard of endotracheal intubation. Distinguishing between esophageal/gastric passage and tracheobronchial aspiration is vital, and sequential chest radiographs are useful to ensure the foreign body has cleared the airway.
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