2015 Volume 74 Issue 5 Pages 267-271
The patient was an 86-year-old male who had experienced intermittent lower abdominal pain with persistent constipation. After medical consultation, his symptoms improved initially, but subsequently relapsed, with the patient exhibiting bowel obstruction, and he was admitted to hospital. Computed tomography showed a lesion comprised of jejunal stenosis and wall thickening. Despite conservative treatment with an ileus tube, the bowel obstruction did not improve. Therefore, laparoscopic surgery was performed. Histological examination revealed the definitive diagnosis of ischemic enteritis of the jejunum. Ischemic enteritis is common in colonic lesions, but is rare in the development of collateral blood flow in the small intestine. Laparoscopic surgery for ischemic enteritis was able to observe the abdominal cavity widely in a good visual field and enabled easy resection of the lesion outside of the abdominal cavity.
