Abstract
A 68-year-old female suffered from cervical cancer(stage IIb)22-years ago. She wastreated by total uterectom.y and pelvic radiation therapy with total 55Gy. About 22 years later, she was admitted with a chief complaint of abdominal distension. Endoscopy revealededematous mucnsa, telagiectasia and wavy vascularization in the ileum end. Barium enemashowed stricture and serrated margin of anal portion of ileum, and the disease was diagnosedas radiational ileitis. After that, once she had been discharged, However, she was again admitted with com-plaints of abdominal pain and fullness. She Was diagnosed as intestinal perforation and receivedoperation. She was a very rare case of radiatianal ileitis wha underwent a perfalation by invaglnatlon.
