Endoscopic removal of an appendiceal foreign body using a disposable pancreaticobiliary imaging catheter

作者：Zhao-Rong Tang, Daixing Chen, Jia Deng, Feng Ye, Hong Qiu, Xiaolong Du, Xiao-Jun Yang · 发表于：Endoscopy · 年份：2023 · DOI：10.1055/a-2008-0154 · 被引用次数：1 · 研究领域：Appendicitis Diagnosis and Management、Foreign Body Medical Cases、Gallbladder and Bile Duct Disorders

A 30-year-old man was admitted to our hospital following ingestion of a peg-like foreign body 6 days earlier. The patient reported no significant abnormalities. Physical examination showed a soft abdomen, without tenderness or rebound pain. Plain abdominal radiography revealed a peg-like object with high density in the right inferior abdomen ([ Fig. 1 ]). Computed tomography confirmed that the object was at the appendiceal cavity, with no signs of perforation ([ Fig. 2 ]). Endoscopic removal of the object was performed for this patient. Fig. 1 Plain abdominal radiograph showed a peg-like object with high density (arrow) in the right inferior abdomen. Fig. 2 Abdominal computed tomography showed a high-density area (arrow) at the appendiceal cavity, with no signs of perforation. Routine colonoscopy was performed initially, but the procedure failed to find the object. Subsequently, we inserted a hydrophilic guidewire (M00556581; Boston Scientific, Marlborough, Massachusetts, USA) into the appendiceal cavity under the guidance of a sphincterotome (M00545150; Boston Scientific). Then, a disposable pancreaticobiliary imaging catheter (DPIC, D-000021494; Micro-tech [Nanjing] Co., Ltd, Nanjing, China) was inserted, and the object was identified after irrigation ([ Video 1 ]). Finally, a spiral stone-extractor basket (CEB00000; Micro-tech [Nanjing] Co., Ltd) was used to remove the object ([ Fig. 3 ], [ Fig. 4 ]). After the procedure, the patient reported no discomfort, and was dischar...