Presentation
Patient with a history of endometriosis (intestinal adhesions) who underwent gastric balloon 3 months ago reported waking up with epigastric discomfort. She reported vomiting and negative catharsis with 4 days of evolution.
Patient Data
The stomach is visualized distended by the oral contrast without endoluminal images compatible with gastric balloon.
Distention of small bowel loops (jejuno-ileum) with progression of contrast material to jejunum and associated hydroareal levels. There is evidence of an area of change of caliber at the hypogastric level, with angulation of the loops and collapse of the terminal ileum loops suggestive of bridging.
Also at this level there is evidence of a linear hyperdense foreign endoluminal hyperdense image to correlate in relation to the history, suggestive of migration of endogastric device.
Case Discussion
This case is a clear example of a typical complication of an intragastric balloon.
When thinking about complications of these devices, the two most frequent that come to mind are pancreatitis due to over-insufflation of the device or migration with subsequent obstruction.
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