Presentation
Abdominal pain, recent LAGB. Small bowel obstruction (SBO) on abdominal X ray.
Patient Data
Age: 30 years
Gender: Female
From the case:
Small bowel obstruction due to gastric banding (LAGB) tube
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Nasogastric tube in stomach. Gastric band appropriately positioned at the gastro-esophageal junction (GEJ).
Stomach is grossly dilated. Entire length of small bowel is dilated with numerous air-fluid levels and gradual contrast material dilution. Transition point at distal terminal ileum, caused by LAGB connecting tube. Distally, terminal ileum and colon are collapsed.
Minute amount of free intraperitoneal fluid in right small pelvis.
Case Discussion
High-grade complete small bowel obstruction due to terminal ileum compression by the LAGB connecting tube.
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