Endoscopic treatment of a foreign body-associated colonic perforation

Although the ingestion of foreign bodies is relatively common in the general population, intestinal perforation is rare but usually requires emergent surgery.

We report a case of an 87-year-old woman that presented with a foreign body-associated colonic diverticular perforation. After multidisciplinary discussion, the foreign body was removed and the perforation was closed using an over-the-scope-clip. Percutaneous drainage of an adjacent intra-abdominal collection was performed. The patient had a favorable clinical evolution and was discharged 15 days after the endoscopic procedure.

This case highlights the possible growing role of endoscopic treatment of foreign body-associated colonic perforations, especially in high-risk surgical patients.