Small bowel obstruction due to gastric banding (LAGB) tube

Case contributed by Dr Yair Glick

Presentation

Abdominal pain, recent LAGB. Small bowel obstruction (SBO) on abdominal X ray.

Patient Data

Age: 30 years
Gender: Female

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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Case information

rID: 61445
Published: 3rd Jul 2018
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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