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. 2011 Apr 16;3(4):78-80.
doi: 10.4253/wjge.v3.i4.78.

Double balloon enteroscopy to retrieve an accidentally swallowed dental reamer deep in the jejunum

Shingo Kato  1 , Kazuhito Kani, Hidehiko Takabayashi, Ryuichi Yamamoto, Koji Yakabi
Affiliations

Double balloon enteroscopy to retrieve an accidentally swallowed dental reamer deep in the jejunum

Shingo Kato et al. World J Gastrointest Endosc. .

Abstract

Accidentally swallowed foreign objects are not uncommon but difficult to manage without complications. We describe the case of a 68 year old man who accidentally a swallowed sharp-pointed dental reamer that had reached deep in his jejunum. Double balloon enteroscopic retrieval was performed with polypectomy snare but the reamer was entangled in the wire loop of the snare and penetrated the jejunal wall. After releasing the reamer by pushing and pulling the snare for approximately 30 min, the reamer was retrieved with biopsy forceps. This is the first report of double balloon enteroscopic removal of a dental reamer. Furthermore, this is a novel case with regard to decision making in situations when sharp objects are swallowed.

Keywords: Dental reamer; Double balloon enteroscopy; Endoscopic retrieval of sharp objects; Jejunum.

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Figures

Figure 1
Figure 1
Abdominal radiographs showing dental reamer deep in the jejunum.
Figure 2
Figure 2
Double balloon enteroscopy showing the dental reamer deep in the jejunum. A: The needle of the reamer which was entangled in the snare wire had penetrated the jejunal wall; Arrow heads show the point of penetration and the free end of the sharp-pointed head; B: The dental reamer was held by an alligator jaw forceps; C: The dental reamer was successfully retrieved by double balloon enteroscopy.
See this image and copyright information in PMC

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