Capsule impaction presenting as acute small bowel perforation: a case series.

Journal of Medical Case Reports
Giovanni D De PalmaGiovanni Persico

Abstract

Perforation caused by capsule endoscopy impaction is extremely rare and, at present, only five cases of perforation from capsule endoscopy impaction are reported in the literature. We report here two cases of patients with undiagnosed small bowel stenosis presenting with acute perforation after capsule endoscopy. Strictures in the small bowel were likely the inciting mechanism leading to acute small bowel obstruction and subsequent distension and perforation above the capsule in the area of maximal serosal tension.Case 1 was a 55-year-old Italian woman who underwent capsule endoscopy because of recurrent postprandial cramping pain and iron deficiency anemia, in the setting of negative imaging studies including an abdominal ultrasound, upper endoscopy, colonoscopy and small bowel follow-through radiograph. She developed a symptomatic bowel obstruction approximately 36 hours after ingestion of the capsule. Emergent surgery was performed to remove the capsule, which was impacted at a stenosis due to a previously undiagnosed ileal adenocarcinoma, leading to perforation.Case 2 was a 60-year-old Italian man with recurrent episodes of abdominal pain and diarrhea who underwent capsule endoscopy after conventional modalities, including ...Continue Reading

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Citations

Sep 15, 2012·Clinical Endoscopy·Soo Jung Park, Won Ho Kim
Mar 8, 2019·Current Opinion in Gastroenterology·Stefania Chetcuti ZammitReena Sidhu
Nov 22, 2012·Current Opinion in Gastroenterology·Anupam SinghDavid R Cave
May 6, 2019·Inflammatory Bowel Diseases·Shabana F PashaJonathan A Leighton
Oct 29, 2020·Expert Review of Gastroenterology & Hepatology·Stefania Chetcuti Zammit, Reena Sidhu
Jul 20, 2018·Case Reports in Gastroenterology·Katsuji SawaiHiroyuki Suto
May 6, 2021·European Surgical Research. Europäische Chirurgische Forschung. Recherches Chirurgicales Européennes·Cornelius J van BeekumTim O Vilz

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