PMC4897322_01
25-year-old woman with small bowel obstruction caused by migrated, deflated bioenteric intragastric balloon. (A) Radiograph shows the deflated gastric balloon in the lower abdomen and dilated small bowel. (B) Lateral CT scout shows the location of the balloon. Arrow points to the valve.
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Abdominal radiographs showed small radio-opaque device in the lower abdomen with moderate distention of a few small bowel loops with air-fluid levels, consistent with partial or early small bowel obstruction (Fig. 1).
25-year-old woman with small bowel obstruction caused by migrated, deflated bioenteric intragastric balloon. (A) CT scan shows the deflated balloon impacted in the small bowel. (B) Proximal to the balloon, the small bowel is dilated.
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There was dilation of the proximal small bowel with thickening of the intestinal wall, and peritoneal reaction (Fig. 2).
25-year-old woman with small bowel obstruction caused by migrated, deflated bioenteric intragastric balloon. (A-B) Photographs of the migrated balloon when following removal from the small bowel. Note the round valve, which appeared radio-opaque in CT and radiographs.
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Longitudinal 2 cm enterotomy proximal to the obstruction was done and the migrated deflated gastric balloon was removed (Fig. 3), with proximally impacted food.