Combined laparoscopic and endoscopic method for foreign body removal from descending colon: A case report

Figure 1  Plain abdominal radiograph showed bottle-shaped foreign body in the left sided of abdomen (orange arrow).

Figure 2 Laparoscopic view of sigmoid colon. A and B: Following the shape of foreign body. The sigmoid colon serosa was normal looking and non edematous.

Figure 3  Adhesiolysis performed to release adhesion to straighten the axis.

Figure 4 Surgical diagram. A and B: A 5-mm laparoscopic atraumatic bowel grasper and babcock forcep were used to help pushed down the foreign body into the rectum, with traction and counter-traction methods.

Figure 5 Surgical diagram. A and B: The foreign body managed to pass down into the rectum.

Figure 6 The rectal mucosa was not inflamed nor oedematous. A: The assistant is doing sigmoidoscopy; B: Endoscopic image of rectum, with greenish foreign body (white arrow).

Figure 7 The first surgeon pushed the FB toward the anus via laparoscopy until it reached the second surgeon’s hand in the anus. A: Bimanual palpation of foreign body via suprapubic and transanally; B: Successful retrieval of the foreign body.

Figure 8  The removed shampoo bottle.

Figure 9 Port placement area. Blue arrow: 12-mm camera port at infraumbilical. Orange arrow: 5-mm working at right iliac fossa and left lumbar.