Abstract
We report a case of endoscopic capsule impaction causing acute small intestinal obstruction in a patient with Crohn’s disease (CD), having obscure gastrointestinal bleeding. A 57-year old female presented with features of acute small bowel obstruction 2 days after capsule endoscopy elsewhere for the evaluation of intermittent bleeding per rectum and iron deficiency anemia. Patient underwent an exploratory laparotomy with right hemicolectomy for the diseased ileocecal region which mimicked malignancy. The capsule was found to be impacted in the strictured lumen of the terminal ileum. Post operative histopathological examination revealed it to be Crohn’s disease.
Similar content being viewed by others
References
Bresci G, Parisi G, Bertoni M, Tumino E, Capria A (2005) The role of video capsule endoscopy for evaluating obscure gastrointestinal bleeding: usefulness of early use. J Gastroenterol 40:256–259
Cheifetz AS, Kornbluth AA, Legnani P, Schmelkin I, Brown A, Lichtiger S, Lewis BS (2006) The risk of retention of the capsule endoscope in patients with known or suspected Crohn’s disease. Am J Gastroenterol 101(10):2218–2222
Cheifetz AS, Lewis BS (2006) Capsule endoscopy retention: is it a complication? J Clin Gastroenterol 40(8):688–691
Sears DM, Avots-Avotins A, Culp K, Gavin MW (2004) Frequency and clinical outcome of capsule retention during capsule endoscopy for GI bleeding of obscure origin. Gastrointest Endosc 60(5):822–827
Eliachim R, Fischer D, Suissa A et al (2003) Wireless capsule endoscopy is a superior diagnostic tool in comparison to barium follow through and computerized tomography in patients with suspected Crohn’s disease. Eur J Gastroenterol Hepatol 15:353–357
Cave D, Legnani P, de Franchis R et al (2005) ICCE consensus for capsule retention. Endoscopy 37:1065–1067
Barkin JS, Friedman S (2002) Wireless capsule endoscopy requiring surgical intervention. The world’s experience. Am J Gastroenterol 97:A-83
Cheifetz AS, Asher AK, Legnani P, Schmelkin I, Brown A, Lichtiger S, Lewis BS (2006) Risk of retention of the capsule endoscope in patients with Crohn’s disease. Am J Gastroenterol 101(10):2218–2222
Conflict of Interest
The authors do not have any disclosable interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Sasmal, P.K., Das, P.C., Tantia, O. et al. Acute Small Intestinal Obstruction—An Unusual Complication of Capsule Endoscopy. Indian J Surg 77 (Suppl 1), 21–23 (2015). https://doi.org/10.1007/s12262-014-1051-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12262-014-1051-4