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An abdominal computerized tomography demonstrated a radiopaque foreign body penetrating into the pancreatic head, with the proximal portion partially residing in the duodenal lumen Fig. If needed, an overtube or soft latex protector hood should be used to prevent iatrogenic injury during the removal of a foreign body. Since the appropriate alignment was successfully achieved, an overtubeovertube was not used. The distal end of the fish bone was captured with a polypectomy snare and was removed in 1 piece. In an attempt for endoscopic removal of the foreign body, the afferent enteral loop was deeply intubated with a therapeutic upper endoscope GIF 2T ; Olympus. A complete blood count, liver function tests, and C-reactive protein were within normal limits.

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Cali. Age: 28.
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Physical examination was significant for epigastric discomfort.

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Gloria. Age: 29.
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The gastric remnant, distal afferent loop, and efferent loop mucosa appeared normal. A year-old American man living in Vietnam, with fever and bacteremia. An abdominal computerized tomography demonstrated a radiopaque foreign body penetrating into the pancreatic head, with the proximal portion partially residing in the duodenal lumen Fig. The majority of foreign bodies pass through the gastrointestinal tract spontaneously.

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