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DOI: 10.1055/a-2445-8468
Endoscopic extraction of a foreign body using a condom
Supported by: Natural Science Foundation of Sichuan Province 2023NSFSC1901
Supported by: 135 projects for disciplines of excellence – Clinical Research Fund, West China Hospital, Sichuan University 2024HXFH033
We report the case of a 16-year-old adolescent who was hospitalized due to a foreign body in the stomach, which was removed using a condom.
Upper gastrointestinal endoscopy showed a rectangle foreign body, about 2 × 9 cm in size and shaped like a lighter, in the stomach cavity ([Fig. 1] a). We tried to grasp the head of the foreign body with a snare and remove it vertically ([Fig. 1] b). However, despite repeated attempts, the lighter could not pass through the esophageal entrance.
Considering that a condom is a thin and flexible sheath, usually coated with water-based lubricant [1], we decided to use this to attempt removal of the foreign body. The lighter was first placed into the mouth of the condom using the snare, and a biopsy forceps was used to clamp the opening of the condom to secure the lighter ([Fig. 1] c). The lubricated condom was gently pulled through the esophageal entrance to facilitate smooth removal ([Fig. 1] d, [Video 1]). No complications occurred.
Quality:
The success rate of foreign body removal is affected by the anatomical spatial size of the esophageal entrance, which is also the first physiological stenosis encountered, and by compliance and coordination of the gastroscopy, all of which vary between individuals [2]. For difficult removal of foreign bodies in the upper gastrointestinal tract, the use of condoms as an additional aid seems to provide a potential and safe option for endoscopists.
Endoscopy_UCTN_Code_TTT_1AO_2AL
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Conflict of Interest
The authors declare that they have no conflict of interest.
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References
- 1 Kopa Z, Scafa R, Graziani A. et al. Male contraception: focus on behavioral and barrier methods. Andrology 2024; 12: 1535-1540
- 2 Wang Y, Chen W. Role of endoscopic transparent cap in managing pediatric foreign bodies in the entrance of the esophagus in a waking state. J Thorac Dis 2019; 11: 4357-4363
Correspondence
Publication History
Article published online:
03 December 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).
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References
- 1 Kopa Z, Scafa R, Graziani A. et al. Male contraception: focus on behavioral and barrier methods. Andrology 2024; 12: 1535-1540
- 2 Wang Y, Chen W. Role of endoscopic transparent cap in managing pediatric foreign bodies in the entrance of the esophagus in a waking state. J Thorac Dis 2019; 11: 4357-4363