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The Lost Buckyballs.

Bornstein Lurie L, Rubin M, Kamath S, Kim S - ACG Case Rep J (2015)

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterology, New York Presbyterian Queens, Flushing, NY.

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During a retrograde double balloon enteroscopy, the enteroscope was advanced over 150 cm into the small bowel without visualization of the Buckyballs... Fluoroscopy confirmed that the Buckyballs had migrated to the right lower quadrant... The enteroscope was reduced under fluoroscopy until the tip of the scope was at the site of the Buckyballs in the cecum; however, the Buckyballs still could not be located (Figure 2)... A 0.035 Dreamwire™ (Boston Scientific, Marlborough, MA) was advanced beyond the Buckyballs into the appendix... Attempts to endoscopically extract the Buckyballs using a 9 mm/12 mm Extractor™ Pro RX Balloon (Boston Scientific, Marlborough, MA), a Memory Basket soft wire (Cook, Winston-Salem, NC), a Talon™ grasping device (US Endoscopy, Mentor, OH), and an EndoGator (US Endoscopy, Mentor, OH) were unsuccessful... The ingestion of 2 or more magnetic foreign bodies poses the highest risk, as the force between 2 magnets can trap a portion of bowel, causing necrosis, perforation, obstruction, or volvulus... We were unable to endoscopically remove the Buckeyballs from this patient, but prompt identification by enteroscopy prevented appendiceal necrosis and perforation... Author contributions: All authors wrote and edited the manuscript... Bornstein Lurie is the article guarantor... Financial disclosure: None to report... Informed consent was obtained for this case report.

No MeSH data available.


Buckyballs recovered from the patient's appendix.
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Figure 4: Buckyballs recovered from the patient's appendix.

Mentions: The appendix was intubated, and a round, metallic object was seen wedged in the lumen (Figure 3). A 0.035 Dreamwire™ (Boston Scientific, Marlborough, MA) was advanced beyond the Buckyballs into the appendix. Attempts to endoscopically extract the Buckyballs using a 9 mm/12 mm Extractor™ Pro RX Balloon (Boston Scientific, Marlborough, MA), a Memory Basket® soft wire (Cook, Winston-Salem, NC), a Talon™ grasping device (US Endoscopy, Mentor, OH), and an EndoGator® (US Endoscopy, Mentor, OH) were unsuccessful. Laparoscopic appendectomy was finally performed to recover the Buckyballs, and the patient recovered without complication (Figure 4).


The Lost Buckyballs.

Bornstein Lurie L, Rubin M, Kamath S, Kim S - ACG Case Rep J (2015)

Buckyballs recovered from the patient's appendix.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4612743&req=5

Figure 4: Buckyballs recovered from the patient's appendix.
Mentions: The appendix was intubated, and a round, metallic object was seen wedged in the lumen (Figure 3). A 0.035 Dreamwire™ (Boston Scientific, Marlborough, MA) was advanced beyond the Buckyballs into the appendix. Attempts to endoscopically extract the Buckyballs using a 9 mm/12 mm Extractor™ Pro RX Balloon (Boston Scientific, Marlborough, MA), a Memory Basket® soft wire (Cook, Winston-Salem, NC), a Talon™ grasping device (US Endoscopy, Mentor, OH), and an EndoGator® (US Endoscopy, Mentor, OH) were unsuccessful. Laparoscopic appendectomy was finally performed to recover the Buckyballs, and the patient recovered without complication (Figure 4).

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterology, New York Presbyterian Queens, Flushing, NY.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

During a retrograde double balloon enteroscopy, the enteroscope was advanced over 150 cm into the small bowel without visualization of the Buckyballs... Fluoroscopy confirmed that the Buckyballs had migrated to the right lower quadrant... The enteroscope was reduced under fluoroscopy until the tip of the scope was at the site of the Buckyballs in the cecum; however, the Buckyballs still could not be located (Figure 2)... A 0.035 Dreamwire™ (Boston Scientific, Marlborough, MA) was advanced beyond the Buckyballs into the appendix... Attempts to endoscopically extract the Buckyballs using a 9 mm/12 mm Extractor™ Pro RX Balloon (Boston Scientific, Marlborough, MA), a Memory Basket soft wire (Cook, Winston-Salem, NC), a Talon™ grasping device (US Endoscopy, Mentor, OH), and an EndoGator (US Endoscopy, Mentor, OH) were unsuccessful... The ingestion of 2 or more magnetic foreign bodies poses the highest risk, as the force between 2 magnets can trap a portion of bowel, causing necrosis, perforation, obstruction, or volvulus... We were unable to endoscopically remove the Buckeyballs from this patient, but prompt identification by enteroscopy prevented appendiceal necrosis and perforation... Author contributions: All authors wrote and edited the manuscript... Bornstein Lurie is the article guarantor... Financial disclosure: None to report... Informed consent was obtained for this case report.

No MeSH data available.