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A 35-year-old man was referred to our hospital owing to insertion of a lamp bulb into his anus 5 hours earlier. The patient’s abdomen was soft and not distensible. An abdominal radiograph showed a spherical opaque foreign body at the junction of the rectum and sigmoid, without any signs of perforation. Proctosigmoidoscopy found a black spherical foreign body (5.0 cm in transverse diameter) at about 15 cm from the anus (▶Fig. 1 a), which was wrapped with black tape and whose neck pointed to the oral side. Several attempts were made to remove it with a snare grasping the neck of the bulb (▶Fig. 1b). However, the bulb rotated with endoscopic extraction and could not be passed through the acute angle of the rectosigmoid junction. Subsequently, a balloon was delivered over the bulb along a guidewire (▶Fig. 1 c). After inflation of the balloon, the snare and the balloon were pulled outward at the same time (▶Fig. 1d; ▶Video 1). Finally, the bulb was extracted successfully with withdrawal of the scope (▶Fig. 2). There were no additional injuries, and the patient was discharged uneventfully the same day. Rectal foreign body is a unique part of colorectal trauma. It is very common nowadays and usually causes difficulties in extraction because of the delay in attending hospital while several attempts E-Videos

Balloon-assisted endoscopic extraction of a lamp bulb stuck in the rectosigmoid junction: an inspiration from ERCP