Retention of the cellophane wall of a patency capsule by intestinal stenosis: a report of three cases

• Published in: Clinical journal of gastroenterology 2016-12, Vol.9 (6), p.365-368
• Main Authors: Saito, Keiko, Nakagawa, Tomoo, Koseki, Hirotaka, Taida, Takashi, Sakurai, Takehiro, Yoshihama, Sayuri, Saito, Masaya, Maruoka, Daisuke, Matsumura, Tomoaki, Watabe, Hirotsugu, Arai, Makoto, Katsuno, Tatsuro, Yokosuka, Osamu
• Format: Article
• Language: English
• Subjects: Abdominal Surgery; Adult; Capsule Endoscopy - adverse effects; Case Report; Cellophane; Colon - diagnostic imaging; Colorectal Surgery; Crohn Disease - diagnosis; Equipment Failure; Female; Foreign Bodies - diagnostic imaging; Foreign Bodies - etiology; Gastroenterology; Hepatology; Humans; Ileum - diagnostic imaging; Intestinal Obstruction - complications; Lymphoma, Large B-Cell, Diffuse - complications; Lymphoma, Large B-Cell, Diffuse - diagnostic imaging; Male; Medicine; Medicine & Public Health; Middle Aged; Surgical Oncology; Tomography, X-Ray Computed
• ISSN: 1865-7257; 1865-7265
• DOI: 10.1007/s12328-016-0682-3

Here we report three cases in which the cellophane wall of the PillCam ® patency capsule (tag-less PC), lacking a radio frequency identification tag, was retained. Case 1 A 33-year-old man with Crohn’s disease (CD) who was administered the tag-less PC, subsequently underwent resection for perforated colon. We recovered the cellophane wall that could perforate the intestine and cause peritonitis. Case 2 A 34-year-old man with a recurring intestinal obstruction of unknown cause was administered the tag-less PC test. Computed tomography (CT) detected the cellophane wall at the oral side of an ileal stenosis. He was subsequently diagnosed with CD. Case 3 A 60-year-old woman with recurrent diarrhea was examined using CT, which revealed a thickened ileal wall. She was administered the tag-less PC test. CT detected the cellophane wall at the oral side of an ileal stenosis. Double-balloon enteroscopy revealed that the stenosis was caused by a malignant lymphoma, and the cellophane wall was simultaneously removed. Although there are numerous studies that report the usefulness and safety of tag-less PCs, few studies mention entrapment of the cellophane wall. Our present report indicated that tag-less PCs may cause such adverse effects and illustrated the usefulness of CT for detecting the trapped cellophane wall.