Year 2023 / Volume 115 / Number 12
Digestive Diseases Image
Iatrogenic Small Intestinal Obstruction

717-718

DOI: 10.17235/reed.2022.9225/2022

Shengduo He, Hong Jiang, Huahong Wang,

Abstract
An 83-year-old female, suffering from abdominal pain, nausea, and vomiting, was admitted to our hospital. Gas-liquid level and tumor was not seen on the abdominal computed tomography scan. Instead, two high density balloon which were 2.7cm(distal) and 3.3cm(proximal) in diameter separately were shown (Figure A) in small intestine. The balloons proved to be part of ileus tube and iohexol which was incorrectly injected into the balloons caused a blockage in the tube. During colonoscopy, we were surprised to find that the distal balloon had passed through the ileocecal valve and we punctured it easily (Figure B). However, affected by the broken distal balloon, we could not reach another one. Finally, we cut off the connector fixed to the face and instructed the patient to take some oral paraffin oil and exercise appropriately. The next day, the balloons were discharged with the symptoms alleviated. It is rare for iatrogenic foreign body to cause ileal obstruction).
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References
1. Tan Y, Chen H, Mao W, et al. Short-Term Clinical Outcomes after Using Novel Deeper Intubation Technique (DIT) of Ileus Tube for Acute Bowel Obstruction Patients. Gastroenterol Res Pract 2020;2020:1625154.
2. Conze J, Krones CJ, Prescher A, et al. [Foreign body-induced disruption of the gastrointestinal tract-anatomy of the ileocoecal opening]. Chirurg 2004;75:525-8.
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He S, Jiang H, Wang H. Iatrogenic Small Intestinal Obstruction. 9225/2022


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Publication history

Received: 22/09/2022

Accepted: 08/10/2022

Online First: 20/10/2022

Published: 12/12/2023

Article Online First time: 28 days

Article editing time: 446 days


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