A case in which a toothpick perforating the ascending colon was successfully removed endoscopically

An 84-year-old woman was admitted to hospital with abdominal pain. The CT findings revealed ascending colonic peritonitis due to perforation by a foreign body. After consultation with the surgeon, it was decided to perform lower gastrointestinal endoscopic extraction of the foreign bodies without preparation. The endoscope revealed that a toothpick had penetrated the ascending colon. The tip of the toothpick was grasped with a grasping forceps, and then the tip was placed in the hood and removed transanally. The patient was then discharged after conservative treatment without major complications.