PMC3269383_01
A computed axial tomography image of the dilated stomach with a band in position. Connection tubing can be seen wrapping around the dilated small bowel (arrow).
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F1
On a computed axial tomography scan (Figure 1), small bowel and stomach were noted to be dilated.
A retroflexion view of a nasogastric tube passing through the gastroesophageal junction during a gastroscopy and a part of the band eroding though the mucosa.
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F2
A gastroscopy (Figure 2) demonstrated gastric band erosion of the lesser curve.
(A) Connection tubing sandwiched between small bowel and transverse colon (arrow). (B) Colonic erosion.
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F3
During the laparotomy, the adhesions were taken down sharply to reveal the tubing sandwiched between the small bowel anterior and the mid-transverse colon posteriorly (Figure 3a). It was noted, on closer inspection, that the tubing had eroded into the colon (Figure 3b).