• Takashi Ueda, Hirohiko Sato, Takashi Ogimi, Ryuzo Deguchi, and Hidekazu Suzuki.
• Division of Gastroenterology and Hepatology, Department of Internal Medicine, Tokai University School of Medicine, Japan.
• Intern. Med. 2024 Oct 1; 63 (19): 262626302626-2630.

AbstractAn 87-year-old man experiencing lower abdominal discomfort resulting from the ingestion of a fish bone underwent conservative management involving endoscopic extraction of the fish bone lodged in the sigmoid colon. Most patients with lower gastrointestinal tract perforations typically develop peritonitis or abscesses, necessitating surgical intervention. Notably, endoscopic management of lower gastrointestinal tract perforations is infrequently employed. Patients presenting with localized abdominal symptoms along with a stable overall health condition may benefit from conservative therapeutic approaches that utilize endoscopic methods. Notably, the transition from endoscopic procedures for foreign body removal to surgical intervention requires close collaboration with a surgeon and must be executed judiciously.

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