Open AccessEndoscopic removal of a large foreign body retained in the duodenum
Author(s) -
Yang Guo,
Fang Li,
Fu Yuan Huang,
Tao Yu
Publication year - 2020
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000020857
Subject(s) - medicine , duodenum , endoscopy , surgery , foreign body , sedation , complication , upper endoscopy , swallowing , endoscope
This study aimed to present the case of a patient in whom a chopstick, which had been in the duodenum for 10 years, was finally removed by endoscopy. This case was reported because of the long-time retention and noninvasive removal by endoscopy without sedation or complication. Patient concerns: A 30-year-old male patient with intermittent upper abdominal pain. Diagnoses: During upper-gastrointestinal (GI) endoscopy, a long-strip foreign body (Fb) was seen in the descending part of the duodenum. An upper-GI barium examination was performed, which revealed a linear Fb in the duodenum cavity. The Fb was >10-cm long. Combined with his history (the patient admitted swallowing a chopstick 10 years ago in a bet), the diagnosis of Fb in the duodenum was confirmed. Interventions: The Fb was removed from the duodenum cavity by upper-GI endoscopy successfully. Outcomes: The patient was discharged after the removal of the Fb. Conclusion: Endoscopic removal and nonoperative management might be feasible in carefully selected patients with a long and old Fb in the duodenum without the need for anesthesia or surgery as well as no occurrence of complications and laceration.