Henninger Carsten, Kramer Michael, Horger Marius, Fritsche Andreas, Gallwitz Baptist, Müssig Karsten
Medizinische Universitätsklinik Tübingen, Abteilung für Endokrinologie, Diabetologie, Angiologie, Nephrologie und Klinische Chemie.
Dtsch Med Wochenschr. 2009 Dec;134(51-52):2640. doi: 10.1055/s-0028-1082838.
A 36-year-old female patient was admitted for abdominal pain and recurrent vomiting since five days. One year before this episode, a gastric balloon had been implanted. Physical examination revealed tenderness in the left and right lower abdomen.
Abdominal ultrasound showed marked impairment of intestinal motility and plain abdominal x-ray revealed signs of small intestine ileus. On abdominal and pelvic computed tomography the gastric balloon was dislocated to the terminal ileum.
DIAGNOSIS, TREATMENT AND COURSE: Dislocation of the gastric balloon resulted in occlusion of the ileum and consequently in mechanical small intestine ileus. After an unsuccessful endoscopic attempt, the balloon was removed during laparatomy. After an initially protracted postinterventional course with impairment of gastrointestinal motility, gradual return to solid food was without any difficulty in the following course.
Due to the pandemic increase of the obesity incidence and, therefore, also of the number of obesity surgical interventions, their potential deleterious effects should be included in the differential diagnoses of unclear abdominal pain.
一名36岁女性患者因腹痛及反复呕吐5天入院。此次发作前一年植入了胃内气球。体格检查发现左下腹和右下腹有压痛。
腹部超声显示肠道蠕动明显受损，腹部平片显示小肠梗阻迹象。腹部和盆腔计算机断层扫描显示胃内气球移位至回肠末端。
诊断、治疗及病程：胃内气球移位导致回肠阻塞，进而引起机械性小肠梗阻。内镜尝试失败后，在剖腹手术中取出气球。在最初介入后病程延长且胃肠动力受损后，后续逐渐恢复固体食物并无任何困难。
由于肥胖发病率的流行增加，因此肥胖手术干预的数量也增加，其潜在有害影响应纳入不明原因腹痛的鉴别诊断中。
