Beh Han Nien, Ongso Yuni Fitri
Department of General Surgery, Joondalup Health Campus, Joondalup, Western Australia, Australia.
J Surg Case Rep. 2019 Apr 6;2019(4):rjz102. doi: 10.1093/jscr/rjz102. eCollection 2019 Apr.
Chronic abdominal pain is often a diagnostic dilemma. We present a 59-year-old female with chronic generalized colicky abdominal and altered bowel habits. She was investigated with colonoscopy and CT abdomen. Patient has a history of recurrent diverticulitis and insertion laparoscopic adjustable gastric band. The colonoscopy revealed a tubular foreign body and diverticular disease. The tubular structure was confirmed to be gastric band tubing on CT abdomen, also showing simultaneous gastric and colonic erosions. She denies any gastric band port related infection or previous issues with gastric band. This case suggest that the cause of the erosion is due to recurrent episodes diverticulitis. She underwent wedge resection of large bowel and laparoscopic removal of gastric band. She had uneventful post-operative recovery.
慢性腹痛常常是一个诊断难题。我们报告一位59岁女性，有慢性广泛性绞痛性腹痛和排便习惯改变。她接受了结肠镜检查和腹部CT检查。患者有复发性憩室炎病史和腹腔镜可调式胃束带置入史。结肠镜检查发现一个管状异物和憩室病。腹部CT证实该管状结构为胃束带管，同时还显示胃和结肠有糜烂。她否认有任何与胃束带端口相关的感染或既往胃束带问题。该病例提示糜烂的原因是复发性憩室炎。她接受了大肠楔形切除术和腹腔镜下胃束带移除术。术后恢复顺利。
