Acute Small Bowel Perforation Caused by Obstruction of a Novel Tag-Less Agile TM Patency Capsule

A 74-year-old man visited our hospital complaining of abdominal pain. An abdominal computed tomography scan showed multiple wall thickness of the small bowel. Capsule endoscopy was recommended for further evaluation, and patency capsule examination was performed. Eighteen hours after patency capsule...

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Veröffentlicht in:Case reports in gastroenterology 2018-05, Vol.12 (2), p.337-343
Hauptverfasser: Sawai, Katsuji, Goi, Takanori, Takegawa, Yumi, Ozaki, Yoshihiko, Taguchi, Seiichi, Kurebayashi, Hidetaka, Suto, Hiroyuki
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container_end_page 343
container_issue 2
container_start_page 337
container_title Case reports in gastroenterology
container_volume 12
creator Sawai, Katsuji
Goi, Takanori
Takegawa, Yumi
Ozaki, Yoshihiko
Taguchi, Seiichi
Kurebayashi, Hidetaka
Suto, Hiroyuki
description A 74-year-old man visited our hospital complaining of abdominal pain. An abdominal computed tomography scan showed multiple wall thickness of the small bowel. Capsule endoscopy was recommended for further evaluation, and patency capsule examination was performed. Eighteen hours after patency capsule ingestion, he experienced small bowel perforation with severe peritonitis caused by intestinal pressure rising because of the patency capsule trapped in his terminal ileum. An ileocolic resection was performed, including the removal of the sclerotic ileum as an emergency surgery. A pathological examination showed transmural inflammation and multiple ulcers with perforation of the small intestine, consistent with Crohn's disease. Here, we report a rare and valuable case of novel tag-less Agile patency capsule (Given Imaging Ltd., Yoqneam, Israel) retention leading to small bowel perforation.
doi_str_mv 10.1159/000490097
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source DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Karger Open Access
subjects Abdomen
Case reports
Crohn's disease
Disease
Endoscopy
Hospitals
Laboratories
Lactose
Medical imaging
Patients
Retention
Small intestine
Surgery
title Acute Small Bowel Perforation Caused by Obstruction of a Novel Tag-Less Agile TM Patency Capsule
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