Enteroliths, faecaliths, ingested foreign bodies, and bezoars are
examples of focal intraluminal obstructions that can lodge in
inaccessible parts of the gastrointestinal tract. Pneumatic lithotripsy,
as described in the accompanying article, is an option to manage
obstructions caused by mineralized concretions. However, pneumatic
lithotripsy may not be safe or effective for all intraluminal
obstructions. Awareness of other strategies or secondary abdominal
approaches to address these challenging presentations can help improve
the surgeon's ability to problem solve in these situations and achieve
successful resolution of the obstruction.