Endoscopic removal of a tablespoon lodged within the duodenum

Figure 1 A plain radiograph of the abdomen revealing a tablespoon within the stomach.

Figure 2 Endoscopic findings showing only the handle of the spoon in the stomach. The head of the spoon is incarcerated in the bulbus of the duodenum.

Figure 3 Image of the removal technique. The spoon was successfully removed by the combination of the double-snare technique as a pulling power and the manual abdominal compression as a pushing power.

Figure 4 The retrieved spoon.