ASGE DDW Videos from Around the World | 2022-SUCCESSFUL ENDOSCOPIC REMOVAL OF FOREIGN BODY PERFORATING INTO THE DUODENUM

SUCCESSFUL ENDOSCOPIC REMOVAL OF FOREIGN BODY PERFORATING INTO THE DUODENUM

Video Transcription

Video Summary

This video presents a case study of a 29-year-old female with a history of psychiatric issues and multiple foreign body ingestions. She was admitted to the emergency department with abdominal pain. CT scans revealed that she had ingested a ballpoint pen three weeks prior, which had perforated her second portion of the duodenum. The medical team attempted endoscopic removal and repair of the perforation. They initially used a snare, but later switched to a Roth tooth. The pen was eventually removed through the esophagus. The patient underwent an upper GI series, which showed no leakage. She recovered well and was discharged without complications. The video demonstrates that endoscopic removal is a viable alternative to surgery for patients with stable conditions and no acute abdomen symptoms. However, surgical backup should always be available in case endoscopic attempts fail.

Keywords

case study

endoscopic removal

duodenum perforation

foreign body ingestion

surgical backup