PMC5683749_01
Double contrast computed tomography scan with a sagittal view of the abdomen and pelvis. A transitional zone containing the balloon marker (red arrow) can be seen, with dilated small bowel loops located proximally and the section of fully collapsed bowel located distally.
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Double contrast-enhanced computed tomography of the abdomen and pelvis revealed dilated small bowel loops with a dense transition zone mostly representing the balloon seen at the level of the proximal ilium (Fig. 2). Mild free fluid was also noted between the bowel loops and in the pelvis (Fig. 2).
Diagram showing the placement of ports in the patient's abdomen. The surgeon and assistant are to the left of the patient and the laparoscopic tower is to the right.
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The open Hasson technique was performed through a supraumbilical incision to achieve pneumoperitoneum, and two additional working ports were inserted (Fig. 3).
The collapsed balloon extracted from the enterotomy site after it was incised with laparoscopic scissors.
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The balloon was identified and opened using endoscissors, causing fluid to be immediately expelled and aspirated (Fig. 4).