An 80 years old lady, was scheduled for follow up colonoscopy, due to previous advanced polyps removaland relative sigmoid colon stenosis secondary to severe diverticular disease. She was asymptomatic, without any pain or fever.^1,2

At colonoscopy, an impacted foreign body (Toothpick) was found, impacted in two sigmoid colon (“face to face”) diverticulum, one at each end. There was purulent secretion from one of those ends. It was not easy to remove, and mobilization resulted in more purulent exudate. The perforation hazard was considered. It couldn’t be cut in its central portion and finally with easy movements with a grasping forceps, it was dislodged from one of its edges, and removed with a snare. The risky meal, assumed to be responsible for the ingestion of the foreign body, was 6 days prior to the colonoscopy.^3‒10

An abdominal ultrasound failed to show any collection. Patient had no further symptoms, while 7 follow up days, under antibiotic treatment¹¹ (Figure 1).

Figure 1 Sigmoid colon diverticulum. Impacted foreign body and purulent secretion at the edges.

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