A 72-year-old man's dentures were stuck in his throat after an operation and not found for eight days. A trip to the X-ray provided confirmation and the man was whisked off to the operating room, where the dentures were plucked out with a pair of forceps.
Hazel Stuart, James Paget University Hospital Medical Director, said: "We had an incident in 2018 and as soon as it was identified the patient was advised and an apology provided by the clinical lead".
After the operation to remove the dentures, he was discharged but returned four more times suffering from bleeding.
However, the man returned to the hospital 2 days later after his condition worsened and was admitted after doctors suspected severe aspiration pneumonia.
The man, who said he had lost his dentures during his initial visit to hospital, was then rushed into surgery to remove the false teeth.
Over the next six weeks, he was trapped in a cycle where the bleeding from his throat seemed to stop and he was discharged from the hospital, only for him to start bleeding again and being readmitted.
But because of the denture debacle, he suffered pain, bleeding and swallowing difficulties, and endured repeated hospital visits, additional invasive tests and blood transfusions.
The hospital took another X-ray that revealed the problem: His dentures-a metal roof plate and three false teeth-lodged at the top of this throat, which had caused internal blistering and swelling.
By the time surgeons cauterised the wound in his throat, he had lost so much blood he needed a blood transfusion. The average adult has between nine and 12 pints of blood circulating inside their body, according to Live Science.
Authors of the case report pointed out that there were no set guidelines on how dentures should be managed during anaesthesia and urged medical professionals to document whether or not a patient has dental prosthetics before and after any procedure.
It also states that the presence of any dentures will be more explicitly stated during any surgery from now on to prevent the same thing happening again.
The journal BMJ Case Reports published the paper Monday. He later passed the false teeth through his digestive system, the article said.
The medical journal report states that this is not the first time dentures have been inhaled while a patient is under aesthetic.
While the chest X-ray and bloodwork indicated a respiratory infection, the tests "acted as a distraction", she wrote. Two days later however, he returned in worse shape, not having been able to swallow the medication they gave him.
Here's a story that'll haunt you into your golden years.