Migrated gastric balloon causing small bowel obstruction

Case contributed by Dr Talal F M Abdullah


Complaining of abdominal pain, vomiting and constipation for 3 days. Abdominal distention and decrease bowel sounds. H/O gastric balloon insertion last year.

Patient Data

Age: 40
Gender: Male

Multiple small bowel air fluid levels keeping with small bowel obstruction.  Note the dense opacity projected over the fourth left lumbar transverse process.

Transition point noted at the luminal foreign body at the mid ileal loops with distal collapse and proximal bowel dilatation.  Mild free pelvic fluid and peritoneal thickening and mesenteric fat stranding.

NG tube and Foley's tube noted in situ.

Case Discussion

Failure, fracture or migrated gastric balloon resulted in luminal occlusion of the mid ileal loops and subsequent small bowel obstruction.  The balloon was scheduled to be removed after six months after instalment which was neglected.  The patient went for a laparotomy.

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Case information

rID: 58148
Case created: 3rd Feb 2018
Last edited: 5th Feb 2018
Inclusion in quiz mode: Included

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