Removal of a guide-wire sliding into abdominal cavity via transgastric natural orifice transluminal endoscopic surgery: A case report

• Published in: World journal of clinical cases Vol. 12; no. 3; pp. 596 - 600
• Main Authors: Chen, Shi-Ju, Zhang, Da-Ya, Lv, Yan-Ting, Bai, Fei-Hu
• Format: Report
• Language: English
• Published: 26.01.2024
• ISSN: 2307-8960; 2307-8960
• DOI: 10.12998/wjcc.v12.i3.596

BACKGROUNDGuidewire slippage into the peritoneal cavity during clinical operations is extremely rare. Therefore, this paper aims to report a successful case of guidewire removal using transgastric natural orifice transluminal endoscopic surgery (NOTES). The goal is to enhance physicians' understanding of the management plan for this unique scenario and provide a valuable reference for clinical practice.CASE SUMMARYA 64-year-old man presented with abdominal distension and was diagnosed with cirrhosis combined with massive ascites. To proceed with treatment, the patient underwent ultrasound-guided peritoneal puncture and underwent catheterization and drainage. Unfortunately, a 0.035-inch guidewire slipped into the abdominal cavity during the procedure. Following a comprehensive evaluation and consultation by a multidisciplinary team, the guidewire was successfully removed using NOTES.CONCLUSIONThis case highlights the potential consideration of transgastric NOTES removal when encountering a foreign body, such as a guidewire, within the abdominal cavity.