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Related Experiment Video

Updated: Aug 24, 2025

Postoperative Ileus Murine Model
04:26

Postoperative Ileus Murine Model

Published on: July 12, 2024

719

Iatrogenic Small Intestinal Obstruction.

Shengduo He1, Hong Jiang1, Huahong Wang1

  • 1Gastroenterology, Peking University First Hospital, China.

Revista Espanola De Enfermedades Digestivas
|October 20, 2022
PubMed
Summary
This summary is machine-generated.

An 83-year-old female experienced ileal obstruction due to an incorrectly placed ileus tube. Conservative management with oral paraffin oil and exercise successfully resolved the blockage and symptoms.

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Area of Science:

  • Gastroenterology
  • Medical Imaging
  • Interventional Endoscopy

Background:

  • Ileus tubes are used to relieve bowel obstructions.
  • Incorrect placement or complications can lead to iatrogenic foreign body issues.

Observation:

  • An 83-year-old female presented with symptoms of small bowel obstruction.
  • Computed tomography revealed two high-density balloons within the small intestine, identified as part of an ileus tube.
  • Iohexol contrast injection into the balloons caused the obstruction.

Findings:

  • Colonoscopy revealed the distal balloon had passed the ileocecal valve.
  • The distal balloon was punctured, but the proximal balloon could not be retrieved due to fragmentation.
  • The patient was treated with oral paraffin oil and exercise, leading to spontaneous passage of the balloons.

Implications:

  • This case highlights a rare instance of iatrogenic ileal obstruction caused by an ileus tube.
  • Prompt diagnosis and conservative management can be effective for such foreign body complications.
  • Attention to detail during ileus tube placement and contrast injection is crucial to prevent adverse events.