A Case of Intragastric Manipulation under Laparotomy for Polyvinyl Chloride Glove Ingestion

Abstract

The patient was an 82-year-old woman with a history of dementia who developed vomiting while residing in a care facility. Abdominal computed tomography (CT) showed a high-density foreign body within the stomach. She had a history of pica, and vomiting was attributed to gastric foreign body ingestion. Upper gastrointestinal endoscopy was performed in an attempt to remove the object ; however, the foreign body was a hardened polyvinyl chloride glove, and endoscopic retrieval was unsuccessful. Open surgery was performed, during which the stomach wall was incised and a single-port device was attached to the gastric wall to perform intragastric manipulation, allowing removal of the glove. After extraction, the inside of the stomach was examined to confirm that no residual foreign body remained. This open intragastric approach enabled wide visualization and safe removal of the foreign body with a minimal gastric wall incision.