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A 75-year-old woman attended our clinic presenting with a 7-day history of nausea, left lower quadrant abdominal pain, and fever. Laboratory data revealed leukocytosis (14500 white blood cells/mL) and an elevated C-reactive protein level (28mg/L). Palpable abdominal pain in the left lower quadrant and a raised temperature (38°C) were found on physical examination. Findings were negative for melena, blood per rectum, weight loss, and change in stool frequency. An abdominal X-ray showed bowel distension with one significant air–fluid level, without pneumoperitoneum. Besides renal calculosis the abdominal ultrasonography was unremarkable. Based on the clinical examination and laboratory findings, the patient’s initial diagnosis was diverticulitis. A course of broad-spectrum antibiotic therapy was initiated. After clinical and laboratory test improvement she was referred for colonoscopy, which revealed the extent of colon diverticulosis and ruled out a malignancy. An obstructing foreign body was seen in the sigmoid colon, stuck in the bowel wall (●" Fig.1 and ●" Fig.2). The foreign body was successfully removed using a tripod grasper (●" Fig.3 and●" Fig.4;●" Video1). The intervention was completed without any complications (●" Fig.5). Recovery was smooth and the patient was discharged from hospital. Fig.3 The foreign body was successfully removed endoscopically in two stages using a tripod grasper. Fig.1 A foreign body stuck in the colon wall, with one end impacted within a diverticulum and the other in the wall opposite, in a 75-year-old woman.

Colonoscopic extraction of a chicken wishbone stuck in the sigmoid colon, identified as diverticulitis: the patient’s and doctor’s wish comes true