2018 Volume 60 Issue 10 Pages 2290-2296
A woman in her 78s was diagnosed with ileus and was transferred to our hospital because conservative therapy failed to improve the ileus. Small bowel enteroclysis showed a circumferential stricture in the proximal jejunum. We performed double balloon enteroscopy, which showed a circumferential ulcer and a stricture in the jejunum. A biopsy obtained from the jejunal ulcer did not reveal any specific histopathological findings. Based on her medical history, she was diagnosed with aspirin-induced ulcer, and endoscopic balloon dilation (EBD) was performed four times in this patient. Her abdominal symptoms improved after EBD, and she was discharged. However, two months after discharge, she was re-admitted to our hospital with ileus. She underwent surgery, and intraoperatively we observed a stenotic site that was fixed to the retroperitoneum by a band-like material. This band was detached, and partial jejunal resection was performed. We report a patient with a secondary ulcer and a stricture in the small bowel due to an intraperitoneal band without a history of abdominal surgery.
