Fig. 27.

A 42 y/o female with severe epigastric pain 3 days following intragastric balloon insertion for obesity, which was subsequently removed. CT scan was performed 5 days later due to persistent pain and leukocytosis. Pre (a) and post (b) IV contrast CT scan display focal adhesion of gastric body to anterior abdominal wall with mild mural thickening (thick arrows), demonstrating no enhancement on post contrast images compared to the rest of enhancing gastric wall (thin arrows) (grey pattern). c Laparotomy demonstrated anterior gastric wall thinning with pale creamy appearance along with focal perforation due to pressure necrosis from prior balloon placement. The anterior gastric wall was locally resected and repaired