Published online Jan 26, 2024. doi: 10.12998/wjcc.v12.i3.596
Peer-review started: October 3, 2023
First decision: December 6, 2023
Revised: December 16, 2023
Accepted: January 4, 2024
Article in press: January 4, 2024
Published online: January 26, 2024
Core Tip: Guidewires play a crucial role in facilitating various medical procedures. Whereas previous reports primarily focused on guidewire breakage and subsequent entrapment within peripheral blood vessels during interventional procedures, this case highlights a unique incident where a guidewire slipped into the abdominal cavity. After extensive multidisciplinary consultations, which took into account the patient's age, frail physical condition, and fair coagulation function, the abdominal guidewire was successfully removed using natural orifice transluminal endoscopic surgery in accordance with individual wishes of the patient. Consequently, the patient experienced a smooth recovery without fever or abdominal pain. This comprehensive article meticulously delineates the management of this exceptional case, which presents an inevitable scenario in clinical practice, ultimately offering valuable insights for healthcare practitioners.