Presentation
Abdominal pain and distension.
Patient Data
Age: 45 years
Gender: Female
From the case:
Disconnected gastric band tubing and small bowel obstruction
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Dilated gas-filled loops of small bowel in the left side of the abdomen. Some feces present in the right colon. No pneumotosis or free gas. Hernial orifices are not imaged.
The gastric band tubing is disconnected at the reservoir. The band itself appears appropriately positioned and angled.
Mirena IUD noted.
Case Discussion
This patient had multiple previous admissions for SBO due to adhesions treated medically.
The disconnect tubing of the gastric band was an incidental finding, but did explain why the patient was unable to lose weight after readjustment of the volume of saline in the band.
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