PMC5830543_01
Abdominal computed tomography showing (A) direct compression of the left renal vein by the intragastric balloon (arrow), (B) a wedge-shaped hypodense area in the left kidney consistent with ischemic injury (arrow), and (C) an enlarged left kidney with perirenal fat stranding.
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F1
The left kidney was enlarged (11.73 cm), with a wedge-shaped hypodense area in the renal cortex and peri-renal fat stranding (Figure 1).
Endoscopic view of intragastric balloon prior to removal.
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F2
The gastric mucosa was intact and healthy with no evidence of trauma, ulcers, perforation, or bleeding (Figure 2).
Magnetic resonance imaging of the kidney 1-week after balloon removal showing resolution of ischemia.
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F3
A previously noted left renal hypodense lesion resolved with no focal areas of decreased enhancement (Figure 3).