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The Video Capsule Diagnostic Imaging is a technique for exploring the digestive tract, particularly the small bowel. It is indicated for any unexplained digestive bleeding or as a means of monitoring intestinal polyposis or inflammatory diseases. This videocapsule is not digestible, and the risk of its retention, symptomatic or not, is not negligible following an inflammatory, anastomatous or tumoral stenosis. This retention or blockage is defined by the presence of the Video Capsule in the digestive tract at least two weeks after ingestion. Surgical approach is considered effective to retrieve the retained capsule, treat the pathology responsible and prevent acute complications. We report the case of retention of a video capsule in a young patient with severe anaemia due to inflammatory polyposis of the small bowl, whose removal required surgery to extract the capsule and resect the segment of the small intestine stenosis by the polyps., Highlights • The video Capsule Endoscopy is the most sensitive examination for the detection of inflammatory lesions of the small bowel. • It does not currently allow a biopsy but it is indicated for unexplained or occult digestive bleeding. • Its main limitation is the risk of blockage in a stenosis with or without occlusion. • Surgical approach is considered effective to retrieve the retained capsule, and treat the pathology responsible.