Video Endoscope Aspiration

Jesse J. Borman, MD; Ryan T. Hilbelink, MD


Appl Radiol. 2011;40(3):37-38. 

In This Article

Case Summary

An 84-year-old man on anticoagulation for atrial fibrillation was admitted to the hospital for evaluation and treatment of anemia and melena. Gastroenterology was consulted; a colonoscopy and EGD were performed, but did not demonstrate a source of bleeding. Video capsule endoscopy (VCE) was recommended and performed. The patient experienced a brief episode of choking and gagging when the capsule was administered. However, he stated the capsule then went down his esophagus, and he denied symptoms during the 8-hour study.

Review of the PillCam SB video demonstrated aspiration of the capsule shortly after administration. The capsule remained in a bronchus for the duration of the recording. A portable chest radiograph confirmed the location of the capsule within a right bronchus. Cardiothoracic surgery performed a rigid bronchoscopy with successful retrieval of the video endoscope.