2020 Volume 96 Issue 1 Pages 61-63
A 76-year-old woman visited our hospital with the complaint of pain in the upper abdomen and vomiting. Physical examination revealed tenderness to palpation without peritoneal signs. Blood examination revealed elevated inflammatory response.
Abdominal CT revealed an approximately 3-cm long linear high-density foreign object which had penetrated the jejunal wall.
We attempted a double-balloon endoscopic removal, which was unsuccessful because of the excess food residue. Although we operated the following day and resected the small intestine, the foreign object was not found in the intestinal tract. The patient developed left-sided abdominal pain within 3 days postoperatively. Blood examination revealed increased inflammatory markers, whereas abdominal CT revealed a linear high-density foreign object.
Colonoscopy revealed a toothpick-like object piercing the sigmoid colonic wall. The foreign object was removed using grasping forceps. The subsequent course of the patient was favorable; she was discharged on hospital day 12.
Here, we report a rare case of foreign object penetrating the small intestinal wall that was removed by an endoscopic approach.
