Endoscopic direct-vision therapy for a foreign body in appendiceal lumen in one patient with acute right-sided abdominal pain

Endoscopic direct-vision therapy for a foreign body in appendiceal lumen in one patient with acute right-sided abdominal pain Endoscopic direct-vision appendicitis therapy (EDAT) represents a novel endoscopic approach for managing acute uncomplicated appendicitis [1,2].It technically stands out for direct visualization and targeted treatment without radioactivity [3].Herein, we present a case of EDAT for a foreign body in the appendiceal lumen in a woman with acute right-sided abdominal pain ( Video 1).A 37-year-old woman was admitted to our hospital, who presented with rightsided abdominal pain for 11 hours.Both abdominal computed tomography and appendiceal ultrasound showed a foreign body in the appendiceal lumen (the diameter is 7 4 mm) and appendicitis was considered ( Fig. 1 a andb).We performed EDAT ( Fig. 2 a-f).A foreign body blocked the proximal lumen, and it was successfully extracted through a retrieval basket.The appendiceal obstruction was relieved and the pain disappeared immediately.Intravenous antibiotics were administered for 24 hours after EDAT, and a liquid diet was initiated 6 hours postoperatively.The patient was discharged 48 hours postoperatively.