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Case Reports in Gastrointestinal Medicine
Volume 2013, Article ID 607142, 4 pages
Case Report

Video Capsule Retention in Inflammatory Bowel Disease: An Unusual Presentation and Discussion of Retrieval Methods

1Department of Gastroenterology & General Medicine, University Hospital Lewisham, Lewisham High Street, London SE13 6LH, UK
2Department of Radiology, Queen Elizabeth Hospital, Stadium Road, Woolwich, London SE18 4QH, UK

Received 15 January 2013; Accepted 7 February 2013

Academic Editors: H. Akiho, M. Iizuka, S. Karoui, and F. H. Mourad

Copyright © 2013 R. Goel et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Inflammatory Bowel Disease (IBD) is characterized by chronic inflammation in the gastrointestinal (GI) tract. Video capsule endoscopy (VCE) is widely used to investigate the small bowel, and capsule retention is the most serious potential complication. Endoscopic and surgical management has been reported, but in the absence of bowel obstruction, there is little consensus as to which should be employed. In this case report, we describe a patient who was investigated with VCE for weight loss and anaemia. He had previously undergone colectomy with ileoanal pouch formation for ulcerative colitis (UC). Capsule retention occurred at an ileal stricture and he was subsequently diagnosed with Crohn's disease (CD). We describe his medical management and successful capsule retrieval using endoscopic methods. This case also highlights the importance of screening for intestinal strictures in an atypical presentation of UC following colectomy.