Al Harthy Salim, Al Lawati Abdullah, Al Lawati Meetham
Gastroenterology, Royal Hospital, Muscat, OMN.
College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, OMN.
Cureus. 2022 Mar 9;14(3):e22983. doi: 10.7759/cureus.22983. eCollection 2022 Mar.
In this report, we discuss the case of a 44-year-old obese female patient who had her recently installed intragastric balloon removed due to ulceration in the gastric mucosa, which would have led to necrosis as shown by oesophago-gastro-duodenoscopy (OGD). In addition, she had symptoms of nausea, vomiting, dysuria, fever, and experienced severe dehydration, which could have resulted in the formation of ureteric and renal stones. Thus, she was rehydrated and was started on antibiotics. She also underwent successful removal of the intragastric balloon aimed at preserving and healing of the remaining gastric mucosa. Post-op findings were unremarkable; however, a tight peptic stricture at the proximal stomach was formed four weeks after her balloon removal.
在本报告中,我们讨论了一名44岁肥胖女性患者的病例。该患者因胃黏膜溃疡,通过食管胃十二指肠镜检查(OGD)显示这可能导致坏死,从而将其近期植入的胃内球囊取出。此外,她有恶心、呕吐、排尿困难、发热症状,并经历了严重脱水,这可能导致输尿管和肾结石的形成。因此,对她进行了补液并开始使用抗生素治疗。她还成功接受了胃内球囊取出术,目的是保护并治愈剩余的胃黏膜。术后检查结果无异常;然而,在她取出球囊四周后,胃近端形成了一个紧密的消化性狭窄。