2023 Volume 65 Issue 3 Pages 251-256
A 79-year-old woman was referred to our hospital in October 2018 for follow-up of colonoscopy (CS) performed 2 years prior to presentation. We performed CS 6 days after the initial consultation and incidentally identified a press-through package (PTP) in the descending colon. The PTP was successfully removed using a retrieval net. Based on a literature search of the Igaku Chuo Zasshi (ICHUSHI) database, this is the fifth case of a PTP found in the colon and removed endoscopically. Accidentally ingested PTPs are occasionally detected and removed from the upper gastrointestinal tract endoscopically. Limited data are available regarding the prevalence of PTPs that pass beyond the pylorus and cause perforation or are spontaneously excreted. Treatment guidelines are unavailable for such complications. We report a rare case of an incidentally detected PTP that was successfully removed endoscopically from the descending colon, together with a literature review.
