18666334 Visualization

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