[Ileus of uncommon cause--important and weighty facts].
METHODS
A 36-year-old female patient was admitted for abdominal pain and recurrent vomiting since five days. One year before this episode, a gastric balloon had been implanted. Physical examination revealed tenderness in the left and right lower abdomen.


METHODS
Abdominal ultrasound showed marked impairment of intestinal motility and plain abdominal x-ray revealed signs of small intestine ileus. On abdominal and pelvic computed tomography the gastric balloon was dislocated to the terminal ileum.


METHODS
Dislocation of the gastric balloon resulted in occlusion of the ileum and consequently in mechanical small intestine ileus. After an unsuccessful endoscopic attempt, the balloon was removed during laparatomy. After an initially protracted postinterventional course with impairment of gastrointestinal motility, gradual return to solid food was without any difficulty in the following course.


CONCLUSIONS
Due to the pandemic increase of the obesity incidence and, therefore, also of the number of obesity surgical interventions, their potential deleterious effects should be included in the differential diagnoses of unclear abdominal pain.
Henninger
Carsten
C
Medizinische Universitätsklinik Tübingen, Abteilung für Endokrinologie, Diabetologie, Angiologie, Nephrologie und Klinische Chemie.
Kramer
Michael
M
Horger
Marius
M
Fritsche
Andreas
A
Gallwitz
Baptist
B
Müssig
Karsten
K
D000328:Adult; D001630:Bezoars / Q000175:diagnosis / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D005260:Female; D015905:Gastric Balloon / Q000009:adverse effects*; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D045823:Ileus / Q000175:diagnosis* / Q000209:etiology; D007415:Intestinal Obstruction / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D007421:Intestine, Small / Q000000981:diagnostic imaging; D011859:Radiography