Endoscopic extraction of a metal key impacted within the appendix

Figure 1 Plain abdominal X-ray revealing the presence of a metal key in the right lower quadrant.

Figure 2 Endoscopic view of the object which is impacted in the appendiceal orifice.

Figure 3 Schematic reconstruction depicting a regular biopsy forceps, inserted through the hole in the handle of the key. Once the “jaws” opened, the forceps served as a “hook” for the extraction of the key.