2024 Volume 104 Issue 1 Pages 95-97
A 71-year-old woman was admitted to hospital with abdominal distension. Abdominal contrast-enhanced CT revealed ileum obstruction due to intussusception caused by submucosal tumor. A nasal-ileal tube was positioned first, but the intussusception was not treated.
We performed a single-balloon small bowel endoscopy to examine the cause of the intussusception. A submucosal tumor (SMT) was found in the ileum, 60 cm from the Bauhin valve. After confirming that there was no ischemia in the mucosa around the SMT on the endoscope, contrast medium was injected under pressure. The fluoroscopic image showed that SMT gradually moved toward the oral side of small intestine. Finally, the obstruction due to intussusception was released and the contrast medium flowed toward the oral side of the SMT. We report a case of small intestinal piles repaired by a single-balloon small bowel endoscopy.
