# Fluoroscopic-Guided Removal of Jejunal Sharp Foreign Body: An Alternative Approach to Surgery

## TL;DR

A new non-surgical method using fluoroscopic guidance was used to remove a sharp foreign body from the small intestine.

## Contribution

This case introduces fluoroscopic-guided removal as a less invasive alternative to surgery for difficult foreign body cases.

## Key findings

- Fluoroscopic-guided removal was successfully used for a jejunal foreign body.
- The approach was chosen due to perforation risks and prior surgical complications.
- Collaboration between surgeon and interventional radiologist enabled the procedure.

## Abstract

Foreign body (FB) ingestion represents a frequently encountered scenario in clinical practice. Most ingested FBs typically pass spontaneously, requiring no intervention. Endoscopic removal stands out as the least invasive method, with only a minimal 1% needing surgical intervention. Case Presentation. We present a case of a 30-year-old male who ingested multiple FBs located in the stomach and small bowel. While successful removal of the stomach FB was achieved through endoscopy, the second FB in the small bowel proved challenging due to perforation concerns and limited expertise. Given a history of prior surgical intervention resulting in a large incisional hernia, surgical removal was discouraged. Consequently, a collaborative decision involving surgeon and interventional radiologist (IR) led to the adoption of a fluoroscopic-guided removal approach facilitated by IR techniques.

This case highlights the potential for a less invasive alternative in situations where both endoscopic and surgical interventions are deemed not feasible.