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+A 19-year-old man presented at the emergency department, 12 h after insertion of a high pressure container with tanning spray into his rectum.
+A plain abdominal radiograph (Figure 1) showed the container in the rectosigmoid region.
+There were no signs of perforation.
+A flexible sigmoidoscopy was performed under conscious sedation.
+The object was located just above the rectosigmoid junction.
+The container could not be extracted by bimanual manipulation.
+An attempt to remove the object with conventional endoscopic instruments, such as polypectomy snares, was unsuccessful.
+The sigmoidoscope could be passed alongside the foreign body to its proximal end.
+A guide wire was left behind with the sigmoidoscope removed.
+Subsequently, a 40 mm pneumatic dilatation balloon (Rigiflex®, Boston Scientific), normally used in achalasia patients, was inserted over the guide wire and inflated just above the container (Figure 2).
+For safety purposes, the sigmoidoscope was reintroduced alongside the catheter of the balloon to allow endoscopic visual control of the distal end of the container in the rectum.
+Gentle traction was exerted on the balloon catheter, and the container was successfully removed under fluoroscopic and endoscopic control (Figure ​3).