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

作　　者：Shi-Ju Chen Da-Ya Zhang Yan-Ting Lv Fei-Hu Bai 

机构地区：[1]Graduate School,Hainan Medical University,Haikou 571199,Hainan Province,China [2]Department of Gastroenterology,The Second Affiliated Hospital of Hainan Medical University,570216 Haikou,Hainan Province,China [3]Department of Gastroenterology,Clinical Medical Center of Hainan Province,Haikou 570216,Hainan Province,China

出　　处：《World Journal of Clinical Cases》2024年第3期596-600,共5页世界临床病例杂志

基　　金：Supported by the Specific Research Fund of The Innovation Platform for Academicians of Hainan Province,No.YSPTZX202313;Hainan Province Clinical Medical Center,No.2021818;Hainan Provincial Health Industry Research Project,No.22A200078;and Hainan Provincial Postgraduate Innovation Research Project,No.Qhyb2022-133.

摘　　要：BACKGROUND Guidewire 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 SUMMARY A 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.CONCLUSION This case highlights the potential consideration of transgastric NOTES removal when encountering a foreign body,such as a guidewire,within the abdominal cavity.

关 键 词：GUIDEWIRE Abdominal cavity Natural orifice transluminal endoscopic surgery CIRRHOSIS Massive ascites Case report 

分 类 号：R656[医药卫生—外科学]