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Dtsch Med Wochenschr. 2003 Aug 15;128(33):1706-8.

[Partial intestinal obstruction after swallowing a self-expanding sponge for weight reduction].

[Article in German]

Author information

1
Chirurgische Klinik und Poliklinik, Rheinisch Westfälischen Technischen Hochshule, Aachen. jconze@ukaachen.de

Abstract

HISTORY AND ADMISSION FINDINGS:

A 21-year-old woman presented with predominantly right-sided cramp-like abdominal pain which had started the previous day. The abdomen was soft on palpation, the peristaltic sounds increased. Body temperature was normal.

INVESTIGATIONS:

Routine laboratory tests were unremarkable, including white cell count (4.5 G/l). and C-reactive protein.

TREATMENT AND COURSE:

She was admitted to hospital for observation. Because the symptoms persisted she underwent a right lower laparotomy because acute appendicitis was suspected. Intraperitoneal examination of the intestines revealed a soft, sponge-like foreign body just above the ileocecal valve. The overlying ileum was incised and a sponge removed. Postoperatively the patient reported having taken 4 capsules of CM3, a weight-reducing preparation, about 14 days ago. These capsules dissolve in the stomach and each releases a small sponge which expands and mechanically induces a feeling of satiation. The further course was unremarkable and she was discharged on the 8th postoperative day.

CONCLUSION:

When producing weight-reducing preparations that act according to physico-mechanical principles, anatomical circumstances should be considered, and they should only be taken under medical supervision.

PMID:
12920668
DOI:
10.1055/s-2003-41337
[Indexed for MEDLINE]

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