Abstract
A 78-years-old female was admitted to our hospital with lower abdominal pain and diarrhea, and subsequently demonstrated hematochezia and fever on the next hospitalization day. Trans-anal single balloon enteroscopy (SBE) showed circumferential ulcers, erosions, mucosal tears and mucosal bridges distributed over a 40-cm range in the terminal ileum, starting approximately 10 cm from the Bauhin valve to the oral side. A contrast-enhanced ileogram with the administration of Gastrografin using an endoscope demonstrated “thumbprinting” accompanied by the disappearance of Kerckring's fold. Although the patient received warfarin for the treatment of ischemic colitis, there was no healing tendency in the reexamination with SBE. She then underwent an ileocecostomy, and the pathological examination of the resected specimen revealed atherothrombosis in a branch of the ileocolic artery.
