Diagnosis and management of jejunoileal obstruction due to ruptured intragastric balloon in bariatric practice: a case report

The global prevalence of obesity persists despite extensive public health efforts. Intragastric balloons (IGBs) offer a non-surgical approach to weight loss. However, complications, though rare, include mechanical intestinal obstruction. This case report explores the unique presentation of a patient with IGB-related obstruction, shedding light on an infrequently reported complication. A 30-year-old male (BMI = 36.7 kg/m²) with a history of IGB placement presented with abdominal pain, nausea, and vomiting. Diagnostic imaging revealed signs of small intestine obstruction attributed to a ruptured IGB. Despite conservative measures, surgical intervention became necessary, uncovering a ruptured IGB within the distal jejunal-proximal ileal loops. Successful removal and repair led to the patient’s discharge on the 5th postoperative day. This case underscores the importance of vigilant follow-up post-IGB placement, emphasizing the need for regular check-ups to detect and address potential complications. While IGB-related intestinal obstruction is uncommon, its occurrence necessitates prompt intervention. Clinicians should be aware of this rare complication when managing patients with a history of IGB placement, contributing to a comprehensive understanding of potential risks associated with non-surgical weight loss interventions.