Inflatable intragastric balloon device causing air-fluid level

Case contributed by Raffi Ourfalian
Diagnosis almost certain

Presentation

55-year-old female with a history of dyspepsia status post bariatric gastric balloon placement in Mexico.

Patient Data

Age: 55
Gender: Female

Radiograph of the abdomen demonstrates a large air-fluid level in the left upper quadrant.

Case Discussion

Given the patient's clinical history, the large air fluid level is most likely secondary to the patient's inflatable bariatric intragastric balloon device. 

Of note, there is a new device that is currently unavailable in the United States, but is offered in Mexico. This device is swallowed by the patient, and once placement has been confirmed via radiograph, it is inflated.  Three of these balloons can be placed and they can be left in the stomach for up to twelve weeks. They are removed via endoscopy.

 

This case was submitted with supervision and input from:

Soni C. Chawla, M.D.
Associate Professor
Department of Radiological Sciences
David Geffen School of Medicine at UCLA
Olive View - UCLA Medical Center

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