Foreign Body Moves Retrograde through Ileocecal Valve during Colonoscopy

Ingestion of foreign bodies and particularly of button or/and cylindrical batteries is frequent in children and adults with underlying psychiatric diseases. We present a case of a 30-year-old woman with unstable borderline disorder, where overall 4 button and 2 cylindrical batteries were endoscopica...

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Main Authors: Maria Paparoupa, Markus Bruns-Toepler
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2017/8707959
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author Maria Paparoupa
Markus Bruns-Toepler
author_facet Maria Paparoupa
Markus Bruns-Toepler
author_sort Maria Paparoupa
collection DOAJ
description Ingestion of foreign bodies and particularly of button or/and cylindrical batteries is frequent in children and adults with underlying psychiatric diseases. We present a case of a 30-year-old woman with unstable borderline disorder, where overall 4 button and 2 cylindrical batteries were endoscopically removed from her digestive system. During the last session of colonoscopy a peculiar incident was observed, as a cylindrical battery of 15 mm diameter and 43 mm length moved retrograde through ileocecal valve into the small bowel. The foreign body removal from terminal ileum was effective and safe using an endoscopic loop. This report suggests that endoscopic insertion in terminal ileum should be attempted in every colonoscopy session conducted under the indication of foreign body removal, as the possibility of retrograde movement of even large foreign bodies in the colon and through ileocecal valve is given.
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spelling doaj-art-90d7e75e78d84436914839a75fa04c642025-02-03T01:01:01ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362017-01-01201710.1155/2017/87079598707959Foreign Body Moves Retrograde through Ileocecal Valve during ColonoscopyMaria Paparoupa0Markus Bruns-Toepler1Department of Pulmonary Diseases, Infectious Diseases, Gastroenterology, Nephrology and Intensive Care Unit, University Hospital of Giessen, Klinikstr. 33, 35392 Giessen, GermanyDepartment of Pulmonary Diseases, Infectious Diseases, Gastroenterology, Nephrology and Intensive Care Unit, University Hospital of Giessen, Klinikstr. 33, 35392 Giessen, GermanyIngestion of foreign bodies and particularly of button or/and cylindrical batteries is frequent in children and adults with underlying psychiatric diseases. We present a case of a 30-year-old woman with unstable borderline disorder, where overall 4 button and 2 cylindrical batteries were endoscopically removed from her digestive system. During the last session of colonoscopy a peculiar incident was observed, as a cylindrical battery of 15 mm diameter and 43 mm length moved retrograde through ileocecal valve into the small bowel. The foreign body removal from terminal ileum was effective and safe using an endoscopic loop. This report suggests that endoscopic insertion in terminal ileum should be attempted in every colonoscopy session conducted under the indication of foreign body removal, as the possibility of retrograde movement of even large foreign bodies in the colon and through ileocecal valve is given.http://dx.doi.org/10.1155/2017/8707959
spellingShingle Maria Paparoupa
Markus Bruns-Toepler
Foreign Body Moves Retrograde through Ileocecal Valve during Colonoscopy
Case Reports in Gastrointestinal Medicine
title Foreign Body Moves Retrograde through Ileocecal Valve during Colonoscopy
title_full Foreign Body Moves Retrograde through Ileocecal Valve during Colonoscopy
title_fullStr Foreign Body Moves Retrograde through Ileocecal Valve during Colonoscopy
title_full_unstemmed Foreign Body Moves Retrograde through Ileocecal Valve during Colonoscopy
title_short Foreign Body Moves Retrograde through Ileocecal Valve during Colonoscopy
title_sort foreign body moves retrograde through ileocecal valve during colonoscopy
url http://dx.doi.org/10.1155/2017/8707959
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AT markusbrunstoepler foreignbodymovesretrogradethroughileocecalvalveduringcolonoscopy