Che Ghazali K, Yaacob H, Mohamed Sidek AS. Combined laparoscopic and endoscopic method for foreign body removal from descending colon: A case report. World J Surg Proced 2024; 14(1): 1-7 [DOI: 10.5412/wjsp.v14.i1.1]
Corresponding Author of This Article
Khairunnisa Che Ghazali, MD, MMed, Doctor, Surgeon, Department of Surgery, Hospital Raja Perempuan Zainab II, Jalan Hospital, Kota Bharu 15586, Malaysia. khairunnisacg@gmail.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Surg Proced. Feb 2, 2024; 14(1): 1-7 Published online Feb 2, 2024. doi: 10.5412/wjsp.v14.i1.1
Combined laparoscopic and endoscopic method for foreign body removal from descending colon: A case report
Khairunnisa Che Ghazali, Huzairi Yaacob, Ahmad Shanwani Mohamed Sidek
Khairunnisa Che Ghazali, Huzairi Yaacob, Ahmad Shanwani Mohamed Sidek, Department of Surgery, Hospital Raja Perempuan Zainab II, Kota Bharu 15586, Malaysia
Author contributions: Che Ghazali K was the patient’s surgeon, collected the data, wrote the manuscript, and performed the literature search; Yaacob H was the patient’s surgeon and reviewed the manuscript for accuracy; Mohamed Sidek AS reviewed the manuscript for scientific accuracy.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest related to this case or its publication.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and corrected according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Khairunnisa Che Ghazali, MD, MMed, Doctor, Surgeon, Department of Surgery, Hospital Raja Perempuan Zainab II, Jalan Hospital, Kota Bharu 15586, Malaysia. khairunnisacg@gmail.com
Received: October 12, 2023 Peer-review started: October 12, 2023 First decision: December 11, 2023 Revised: December 23, 2023 Accepted: January 17, 2024 Article in press: January 17, 2024 Published online: February 2, 2024 Processing time: 112 Days and 21.6 Hours
Abstract
BACKGROUND
The majority of published reports on foreign bodies (FBs) involve the rectum and applied a transanal retrieval. Usually, patients with FB above the rectum are subjected to laparotomy for removal. Here, we illustrate the case of a man with an FB that had migrated into the descending colon, and its successful removal via a laparoscopic approach.
CASE SUMMARY
A 43-year-old man, who had the habit of FB insertion into his anus to aid defecation, presented upon experience of such an FB slipping through and migrating upward to the distal colon. Plain abdominal radiograph revealed a bottle-shaped FB, positioned in the left iliac fossa region. The FB was successfully removed via a laparoscopic-assisted procedure in which we combined diagnostic laparoscopic and endoscopic techniques during surgery. The patient was monitored for 2 d postoperatively and subsequently discharged home.
CONCLUSION
A minimally invasive approach should be adopted to aid extraction of colorectal FB as it is effective and safe.
Core Tip: This case highlights the minimally invasive approach to foreign body removal from the rectum/distal colon, as a way forward, to avoid major laparotomy as an operative intervention.
