Colonic obstruction caused by video capsule entrapment in a metal stent

Ervin Toth, Lars Marthinsen, Maria Bergström, Per Ola Park, Peter Månsson, Artur Nemeth, Gabriele Wurm Johansson, Henrik Thorlacius

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Video capsule endoscopy (VCE) has become the method of choice for visualizing the small bowel mucosa and is generally considered to be a safe method. Although uncommon, the most feared complication of VCE is capsule retention that can potentially lead to life-threatening bowel obstruction. Herein, we present for the first time a case of capsule retention in a colonic stent. The patient had known Crohn's disease with colonic involvement and underwent an uneventful but incomplete small bowel VCE for assessment of disease activity and extension for optimizing medical treatment. Five months later, the patient presented with intestinal obstruction due to a Crohn's-stricture in the sigmoid colon, which was successfully decompressed with a self-expandable metal stent. Nonetheless, two days later the patient showed signs of bowel obstruction again and abdominal X-ray showed that the capsule was trapped in the metal stent in the sigmoid colon. Subsequently, emergency surgery was performed and the patient fully recovered. Intestinal capsule retention necessitating interventional removal is rare. This report describes a unique case of capsule retention in a colonic metal stent and highlights the potential risk of performing capsule endoscopy examinations in patients with gastrointestinal stents.

Original languageEnglish
Article number199
JournalAnnals of Translational Medicine
Volume5
Issue number9
DOIs
Publication statusPublished - May 1 2017

Fingerprint

Capsule Endoscopy
Capsules
Stents
Metals
Sigmoid Colon
Intestinal Obstruction
Crohn Disease
Pathologic Constriction
Mucous Membrane
Emergencies
X-Rays

Keywords

  • Capsule endoscopy
  • Colon
  • Complication
  • Crohn's disease
  • Metal stent

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Toth, E., Marthinsen, L., Bergström, M., Park, P. O., Månsson, P., Nemeth, A., ... Thorlacius, H. (2017). Colonic obstruction caused by video capsule entrapment in a metal stent. Annals of Translational Medicine, 5(9), [199]. https://doi.org/10.21037/atm.2017.03.79

Colonic obstruction caused by video capsule entrapment in a metal stent. / Toth, Ervin; Marthinsen, Lars; Bergström, Maria; Park, Per Ola; Månsson, Peter; Nemeth, Artur; Johansson, Gabriele Wurm; Thorlacius, Henrik.

In: Annals of Translational Medicine, Vol. 5, No. 9, 199, 01.05.2017.

Research output: Contribution to journalArticle

Toth, E, Marthinsen, L, Bergström, M, Park, PO, Månsson, P, Nemeth, A, Johansson, GW & Thorlacius, H 2017, 'Colonic obstruction caused by video capsule entrapment in a metal stent', Annals of Translational Medicine, vol. 5, no. 9, 199. https://doi.org/10.21037/atm.2017.03.79
Toth, Ervin ; Marthinsen, Lars ; Bergström, Maria ; Park, Per Ola ; Månsson, Peter ; Nemeth, Artur ; Johansson, Gabriele Wurm ; Thorlacius, Henrik. / Colonic obstruction caused by video capsule entrapment in a metal stent. In: Annals of Translational Medicine. 2017 ; Vol. 5, No. 9.
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