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Published on: August 22, 2025
Gastric perforation and death after the insertion of an intragastric balloon
Ioannis Koutelidakis1, Dimitrios Dragoumis, Basilios Papaziogas
1G.Gennimatas Hospital, 2nd Surgical Clinic, Aristotle University of Thessaloniki, Ethnikis Aminis, 41, P. O. Box 54635, Thessaloniki, Greece.
Abstract:
We report a case of a patient who presented with an acute abdomen 2 days after the insertion of an intragastric balloon system and discuss in detail the advantages and drawbacks of these devices in the therapy of morbid obesity. A 43-year-old morbidly obese man was admitted to the department of surgery in shock with a 2-h history of severe diffuse abdominal pain and the initial diagnosis of visceral perforation. The patient had been subjected to intragastric placement of an inflatable balloon 48 h prior to his presentation. Abdominal exploration revealed the presence of a large linear perforation in the fundus of the stomach.
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