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. 2015 Sep;48(5):444-6.
doi: 10.5946/ce.2015.48.5.444. Epub 2015 Sep 30.

Successful Removal of a Screw Nail in the Jejunum Using Double-Balloon Enteroscopy

Dong Ju Kim  1 , Myoung Ki Sim  1 , Sang Wook Lee  2 , Tae Hee Lee  3
Affiliations

Successful Removal of a Screw Nail in the Jejunum Using Double-Balloon Enteroscopy

Dong Ju Kim et al. Clin Endosc. 2015 Sep.

Abstract

The vast majority of foreign bodies (FBs) that enter the stomach pass through the gastrointestinal tract spontaneously. When the FB enters the small bowel-beyond the reach of conventional endoscopy-daily radiographs are needed to ensure its safe passage. However, endoscopic intervention is an appropriate management strategy for a sharp-pointed FB, because sharp FBs have a higher risk of intestinal perforation. We describe here a case in which a 1.5-cm, sharp-pointed screw nail in the proximal jejunum was removed successfully by double-balloon enteroscopy from a 19-year-old-male with autism. This case adds to the growing body of evidence demonstrating the value of therapeutic double-balloon enteroscopy in the field of FB ingestion.

Keywords: Double-balloon enteroscopy; Endoscopic removal of sharp objects; Foreign bodies; Jejunum; Screw nail.

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Conflict of interest statement

Conflicts of Interest: The authors have no financial conflicts of interest.

Figures

Fig. 1
Fig. 1. Radiologic findings for an ingested sharp, pointed screw nail. (A) Abdominal simple radiography detected the presence of a sharp, pointed screw nail. (B) Abdominal computed tomography revealed a sharp, pointed screw nail in the proximal jejunum without evidence of small bowel perforation.
Fig. 2
Fig. 2. Double-balloon enteroscopic findings of the ingested foreign body. (A) Double-balloon enteroscopy revealed a screw nail in the proximal jejunum without endoscopic evidence of perforation. (B) Endoscopic removal of the screw nail was attempted using a polypectomy snare. The screw nail in the jejunum was retrieved using a polypectomy snare.
See this image and copyright information in PMC

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