Removal of an embedded duodenal foreign body in a Schizophrenic adolescent with a guidewire-formed lasso

Foreign bodies (FBs) in the gastrointestinal tract are a common occurrence in pediatric patients, often requiring medical intervention for removal. Conventional extraction methods can be challenging, particularly when the FB is unusually large, long, abnormally positioned, or tightly embedded, presenting a gap in safe, non-surgical management techniques.

In this report, we describe the innovative use of a lasso structure formed by a guidewire and biopsy forceps to successfully remove a tightly embedded toothbrush from the duodenum of a pediatric patient with schizophrenia, avoiding invasive surgical interventions, and the patient recovered well post-procedure without complications.

The success of this approach offers a promising alternative for clinicians managing similar cases, potentially reducing the need for surgical intervention and contributing to safer and more efficient treatment options for the removal of FBs in pediatric gastroenterology.