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Case Reports in Medicine
Volume 2012 (2012), Article ID 414095, 3 pages
http://dx.doi.org/10.1155/2012/414095
Case Report

Bowel Obstruction due to Migration of an Intragastric Balloon Necessitating Surgical Removal before Completion of the Recommended 6 Months

1Department of General Surgery, Baghiatallah General Hospital, Baghiatallah University of Medical Sciences, Tehran, Iran
2School of Medicine, Tehran University of Medical Sciences, Poursina Street, Tehran, Iran

Received 3 August 2012; Accepted 12 September 2012

Academic Editor: Chin-Jung Wang

Copyright © 2012 Seyed Morteza Mousavi Naeini and Mahdi Sheikh. 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.

Abstract

We report a 25-year-old man with small bowel obstruction due to migration of a saline-filled intragastric balloon before the completion of the recommended 6 months of treatment who presented to the emergency department with abdominal pain. The patient had received a gastric balloon insertion 5 months prior. Within 24 hours of the original procedure, he noticed urine staining. The results of an endoscopy conducted the next day were normal. After ruling out other possible complications using endoscopy and confirming the diagnosis by computed tomography (CT) scan and conservative treatment for 48 hours the patient underwent surgery and the balloon was extracted. Due to the growing prevalence of obesity and the modalities used for treating it, physicians should be familiar with the side effects of each option and their presenting symptoms as well as the differential diagnosis they should not miss. Physicians must also improve their knowledge of how to approach these patients to avoid life-threatening complications caused by these modalities.