ROBOTIC-ASSISTED SMALL BOWEL RESECTION FOR A RETAINED CAPSULE IN A PATIENT WITH ABERRANT ANATOMY AND GI HEMORRHAGE
Josiane Joseph*, Juliane Bingener
Mayo Foundation for Medical Education and Research, Rochester, MN
A 41 yo nonverbal male with Tetralogy of Fallot was referred for transfusion requiring GI bleeding. Endoscopy and colonoscopy did not reveal a bleeding source, and a video endoscopy capsule was placed; the capsule did not identify an active bleeding source and was retained. His hemoglobin stabilized but weeks later, KUB suggested the capsule was retained in his colon, overlying his liver. Colonoscopy did not encounter the capsule. Cross-sectional imaging was obtained and identified the capsule in an unusual portion of ileum positioned cephalad to the liver. We describe the surgical procedure to identify the anatomy and bleeding source, retrieve the capsule, and resect the bleeding source.
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