Gastric balloon

Case contributed by Felipe Veiga Rodrigues
Diagnosis almost certain

Presentation

Abdominal pain in the upper abdomen 20 days after gastric balloon procedure.

Patient Data

Age: 47
Gender: Female
ct

Marked dissension of the intragastric balloon, distended with air-fluid level and associated with stranding of the peritoneal fat anterior to the gastric wall. There is normal progression of oral contrast. 

Case Discussion

This patient has improved after removal of the balloon. There was mucous erosion in the anterior gastric wall.

Complications related with this procedure include pancreatitis, intestinal obstruction, balloon infection and gastric perforation.

Balloons are filled with methylene blue stain, therefore rupture or deflation are easily detected by the patient's urine color change.

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