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Case Report
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| Acute pancreatitis due to intragastric balloon | ||||||
| Orlando Jorge Martins Torres1, Jose Maria Assunção Moraes-Junior2, Camila Cristina S. Torres1, Everardo de Almeida Nunes2 | ||||||
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1MD, Department of Gastrointestinal Surgery, Federal University of Maranhão, Brazil.
2MD, Department of Endoscopy - UDI Hospital, São Luis, MA, Brazil. | ||||||
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| How to cite this article |
| Torres OJM, Moraes-Junior JMA, Torres CCS, Nunes EA. Acute pancreatitis due to intragastric balloon. Int J Case Rep Images 2016;7(8):499–502. |
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Abstract
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Introduction:
Intragastric balloon therapy is an option for treatment of obesity. Some complications have been reported but acute pancreatitis due to compression of the pancreas is a rare event. The aim of this study is report a case of acute pancreatitis due to intragastric balloon insertion.
Case Report: In a 33-year-old male with BMI of 43.4 kg/m2, intragastric balloon was inserted in the gastric fundus, the follow-up was uneventful. After four months, the patient had acute abdominal pain, nausea, vomiting and abdominal distension. Laboratory tests showed serum amylase 618 U/l and serum lipase 906 U/l. A CT scan showed that the tail of the pancreas was heterogeneous, minimal fluid and inflammation of peripancreatic fat. The intragastric balloon was observed causing compression at the transition from the body to the pancreatic tail. The intragastric balloon was removed and the patient underwent laparoscopic cholecystectomy. The inspection of the gallbladder was normal and the histology showed no signs of microlithiasis. The patient was discharged asymptomatic. Conclusion: Intragastric balloon is a common procedure in obese patients and pancreas compression due to the balloon should be included as cause of acute pancreatitis in these patients. | |
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Keywords:
Acute pancreatitis, Intragastric balloon, Obesity, Pancreatitis
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Author Contributions
Orlando Jorge Martins Torres – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Jose Maria Assunção Moraes-Junior – Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Camila Cristina S. Torres – Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Everardo de Almeida Nunes – Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2016 Orlando Jorge Martins Torres et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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