Retention of endoscopic capsule in an umbilical hernia.

for the investigation of obscure gastrointestinal bleeding. Despite the reduced risk of complications, capsule retention is themost frequent complication, occurring in 1%–3% of cases [1]. A 64-year-old woman, obese and hypertensive, with indeterminate colitis in remission for several years, presented to the emergency department with hematochezia. She reported a history of recent surgery to varicose veins of the lower limbs and post-operative treatment with diclofenac. On physical examination, she appeared pale; the rest of the examination was unremarkable except for a reducible incoercible umbilical hernia. Analytically, the patient presented hemoglobin of 5.6 g/dL (12–16 g/dL). Upper endoscopy and colonoscopy showed no lesions, and the patient was admitted for investigation. The computed tomography (CT) enteroclysis was normal except for an umbilical herniawith a bowel loop within, without signs of strangulation (●" Fig. 1). Capsule endoscopy (PillCam SB 2; Given Imaging, Yoqneam, Israel) was then performed; it showed no changes in the mucosa up to the jejunum, where after 1 hour and 20 minutes the capsule remained stagnant until the end of the battery’s life (●" Fig. 2). The patient remained asymptomatic. A small-bowel radiograph with water-soluble contrast showed the capsule retained Retention of endoscopic capsule in an umbilical hernia