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BMJ Case Reports 2018; doi:10.1136/bcr-2018-226348
  • Novel treatment (new drug/intervention; established drug/procedure in new situation)
  • CASE REPORT

New endoscopic technique for retrieval of large colonic foreign bodies and an endoscopy-oriented review of the literature

  1. Massimiliano Mutignani
  1. Digestive Endoscopy Unit, Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda, Milano, Italy
  1. Correspondence to Dr Lorenzo Dioscoridi, dioscoridi.lorenzo{at}virgilio.it
  • Accepted 16 August 2018
  • Published 1 September 2018

Summary

Colorectal foreign bodies (FB) are challenging issues for the endoscopist especially if the mostly used methods (polypectomy snare, biopsy forceps or wire-guided 40 mm dilation balloon) failed. We report a case of a 31-year-old man who was admitted in the emergency department for the impaction of a 60 cm long and large-size FB in the sigmoid colon. We failed to remove the FB using several different standard technique because of the rigidity, the smoothness and the size of the object. After all these attempts, we built up a ‘home-made’ device inserting a 0.035 inch non-hydrophilic guidewire (Metro WireGuide, Cook Medical) doubled into an 8.5 Fr stent-pusher-catheter (Cook Medical) serving as an outer sheet in order to create a noose and we finally succeeded in the endoscopic extraction of the device. We suggest this new technique as a valid option to remove large FBs from the colon and rectum when standard endoscopic methods for FB’s extraction fail.

Footnotes

  • Contributors AT had the idea to write the paper. LD wrote the paper. GB found the images and built up the table. MM had the idea of the technique.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None delcared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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