2015 Volume 68 Issue 2 Pages 86-91
A 76-year-old man was admitted to our hospital because of left lower abdominal pain. He was treated conservatively and discharged on the 9th day. However, he was admitted again on the 18th day due to the symptom of stenosis after bowel preparation for colonoscopy. Colonoscopy revealed circumferential stenosis of the descending colon and the colonoscope could not pass through the stenosis. The mucosal surface was not irregular and biopsy specimens did not show malignancy in histology. We diagnosed benign inflammatory stenosis due to stricture type ischemic colitis, and performed endoscopic balloon dilation. The initial two attempts resulted in re-stenosis, so we added submucosal steroid injection after endoscopic balloon dilation. Re-stenosis has not occurred to date and complete healing was achieved after 6 months.
