Ghali Mohamed S, Elhassan Osman O, Al-Zoubi Raed M
Department of Surgery, Acute Care Surgery, Hamad Medical Corporation,3050, Doha, Qatar.
Department of General Surgery, Ain Shams University, 38 Abbassia, 1181, Cairo, Egypt.
J Surg Case Rep. 2024 Nov 24;2024(11):rjae744. doi: 10.1093/jscr/rjae744. eCollection 2024 Nov.
An intragastric balloon is often used as a temporary solution for weight loss. It is endoscopically placed into the stomach and filled with air or saline to encourage fullness and reduce meal intake. A 23-year-old female with a history of a gastric balloon procedure presented to the emergency department with generalized abdominal pain and recurrent vomiting. Initial imaging with ultrasound and computed tomography scans revealed a collapsed migrated gastric balloon causing a small bowel obstruction. Despite initial conservative management, the patient required surgical intervention, which involved laparoscopic exploration, mini laparotomy, and enterotomy to extract the migrated balloon. Postoperatively, the patient had an uneventful recovery and was discharged with a stable condition. This case underscores the importance of considering device-related complications in patients with gastric balloons presenting with gastrointestinal symptoms and highlights the need for prompt imaging and appropriate surgical management. Intragastric balloon migration leading to small bowel obstruction is a rare but serious complication that should be considered in patients presenting with abdominal pain and vomiting following a gastric balloon procedure. Prompt imaging and surgical intervention are crucial for effective management and favorable outcomes.
胃内球囊通常被用作减肥的一种临时解决方案。它通过内镜放置到胃内，并充入空气或盐水以产生饱腹感并减少进食量。一名有胃内球囊手术史的23岁女性因全腹疼痛和反复呕吐就诊于急诊科。最初的超声和计算机断层扫描成像显示一个塌陷并移位的胃内球囊导致小肠梗阻。尽管最初采取了保守治疗，但患者仍需要手术干预，包括腹腔镜探查、迷你剖腹术和肠切开术以取出移位的球囊。术后，患者恢复顺利，病情稳定后出院。该病例强调了对于出现胃肠道症状的胃内球囊患者考虑与器械相关并发症的重要性，并突出了及时成像和适当手术治疗的必要性。胃内球囊移位导致小肠梗阻是一种罕见但严重的并发症，对于在胃内球囊手术后出现腹痛和呕吐的患者应予以考虑。及时成像和手术干预对于有效治疗和良好预后至关重要。
