Sergio Rojas-Ortega, MD, Emina Pasic, MD, Rachid Cesin, MD, Anuar Flores-simon, MD, Gerardo Reed, MD. HOSPITAL ANGELES PUEBLA
A 46 y.o. patient presented with intermitent abdominal colic pain. After a complete physical examination and routine clinical studies wich resulted normal, a small intestine barium contrast radiographic study demonstrated a stenosis in the proximal jejunum, and complemented by computerized tomography (CT) with smal bowell dilated loops. Capsule endoscopy was the next study with non-specific findings.(fig.1) 5 days after, the patient presented with acute abdominal pain and an abdominal x-ray revealed a retained capsule. During laparoscopy we found a distal jejunum stricture with a retained capsule, the rest of the small bowel was normal.( fig 2-5) We exteriorized the bowel and resected the stenosis with an entero-enterojejunostomy. The histopathological diagnosis was of Crohn´s disease.
COMMENT: During capsule endoscopy the transit times have been reported in several studies and the average pasage time to the colon is 300 minutes. An 8-hour acquisition time assures that most capsules will reach the colon allowing for complete inspection of the small bowel.The patients are instructed that in 3 days the capsule is seen to pass. An x-ray can be obtained should there be a question if the capsule has remained within the patient and not excreted.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 77388
Program Number: P166
Presentation Session: Poster (Non CME)
Presentation Type: Poster