TRANSANAL ILEUS TUBE INSERTION WITH THE AID OF A COLONOSCOPE IN A CASE OF BENIGN INTESTINAL STRICTURE AFTER LEFT ILIAC RESECTION

Abstract

The patient was a 68-year-old woman who had undergone left iliac resection and tumor resection for left pelvic leiomyosarcoma at the age of 47 years. She visited the hospital due to vomiting, and a CT scan revealed stenosis of the descending colon adjacent to the iliac resection site and dilation at the oral side of the intestine. Although transanal ileus tube placement was considered technically difficult, successful placement was achieved with the aid of a colonoscope, which allowed release of sigmoid colon flexion. Since the introduction of self-expanding metal stents, the need for transanal ileus tube placement has decreased. However, in cases of benign intestinal strictures such as the present case, preoperative intestinal decompression may still require tube placement. When transanal ileus tube insertion is challenging, the use of a colonoscope to release colonic flexion can be considered a simple and effective method.