Parastomal hernia incarceration due to migrated intragastric balloon.

Details

Serval ID
serval:BIB_3B32C579B446
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Title
Parastomal hernia incarceration due to migrated intragastric balloon.
Journal
Hernia
Author(s)
Limani P., Steinemann D.C., Clavien P.A., Hahnloser D.
ISSN
1248-9204 (Electronic)
ISSN-L
1248-9204
Publication state
Published
Issued date
2013
Volume
17
Number
1
Pages
133-136
Language
english
Notes
Publication types: Case Reports ; Journal ArticlePublication Status: ppublish
Abstract
The temporary placement of intragastric balloons is a common method to achieve rapid weight loss before planned metabolic surgery. We report the case of a 48-year-old morbidly obese patient. Ten years ago the patient underwent emergency sigmoidectomy with creation of a double-barreled ileostomy for perforated diverticulitis. Over time he developed a giant parastomal hernia. For preoperative weight reduction before planned restoration of intestinal continuity, an intragastric balloon was inserted 3 years ago. The patient was admitted to our emergency department with peritonism and a septic shock. After computed tomography showing small bowel ileus, laparotomy was performed, revealing marked ischemia of incarcerated small and large intestine. Only postoperatively was the intragastric balloon found in the resected small bowel, causing a mechanical ileus with consecutive incarceration of the bowel. We review the literature on complications due to the migration of intragastric balloons. This clinical case gives a fair warning of the possible deleterious outcome of intragastric balloons, especially in hernia patients.
Keywords
Gastric Balloon/adverse effects, Hernia, Abdominal/complications, Hernia, Abdominal/surgery, Humans, Ileostomy/adverse effects, Ileum/blood supply, Ileum/surgery, Ischemia/etiology, Ischemia/surgery, Male, Middle Aged, Prosthesis Failure, Sepsis/etiology
Pubmed
Web of science
Create date
06/10/2014 10:44
Last modification date
20/08/2019 13:31
Usage data