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Hernia
Published in: Hernia 1/2013

01-02-2013 | Case Report

Parastomal hernia incarceration due to migrated intragastric balloon

Authors: P. Limani, D. C. Steinemann, P.-A. Clavien, D. Hahnloser

Published in: Hernia | Issue 1/2013

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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.
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Metadata
Title
Parastomal hernia incarceration due to migrated intragastric balloon
Authors
P. Limani
D. C. Steinemann
P.-A. Clavien
D. Hahnloser
Publication date
01-02-2013
Publisher
Springer-Verlag
Published in
Hernia / Issue 1/2013
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-011-0824-y

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