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Case Reports
. 2018 Feb 28:5:e16.
doi: 10.14309/crj.2018.16. eCollection 2018.

Ischemic Renal Injury Complicating Intragastric Balloon Insertion

Emad S Aljahdli  1
Affiliations
Case Reports

Ischemic Renal Injury Complicating Intragastric Balloon Insertion

Emad S Aljahdli. ACG Case Rep J. .

Abstract

A 25-year-old obese woman experienced ischemic renal injury as a complication of intragastric balloon (IGB) insertion for weight reduction. Although IGB is associated with a low risk of renal injury in the form of acute renal failure, this presentation has never been reported. The patient responded well to treatment, with complete clinical and radiologic resolution after balloon removal. She did not have an apparent cause of renal ischemia other than a significant compression of the renal vessels by the balloon as seen on imaging.

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Figures

Figure 1
Figure 1
Abdominal computed tomography showing (A) direct compression of the left renal vein by the intragastric balloon (arrow), (B) a wedge-shaped hypodense area in the left kidney consistent with ischemic injury (arrow), and (C) an enlarged left kidney with perirenal fat stranding.
Figure 2
Figure 2
Endoscopic view of intragastric balloon prior to removal.
Figure 3
Figure 3
Magnetic resonance imaging of the kidney 1-week after balloon removal showing resolution of ischemia.
See this image and copyright information in PMC

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