naa a22 4500 510814034 CHVBK 20180411083456.0 cr unu---uuuuu 180411e20130801xx s 000 0 eng 10.1007/s12328-013-0393-y doi (NATIONALLICENCE)springer-10.1007/s12328-013-0393-y Small intestinal obstruction resulting from ischemic enteritis: a case report [Elektronische Daten] [Nobuhiro Takeuchi, Kazuyoshi Naba] A 69-year-old male was admitted to our institution because of a sudden onset of vomiting and abdominal distention. His past history of illness included femoral head fracture, congestive heart failure and ischaemic colitis. Plain abdominal computed tomography revealed extensively dilated small intestinal loops with a calibre change around the end of the ileum. Small intestinal obstruction was diagnosed and a transnasal ileus tube was placed. The ileus tube was constantly moved towards small intestine until it reached the distal ileum. Contrast medium from the ileus tube revealed a distal ileal stricture. Subsequently, transanal single balloon enteroscopy was performed to inspect the stricture, revealing a circumferential and afferent tubular ulcer in the distal ileum, 5cm from the ileocecal valve; gastrofluorography confirmed the stricture. Although the stricture was dilated on several occasions using balloon catheters, the stricture could not be improved. However, during the treatment, his general condition worsened over time; thus, surgical treatment was decided. Operative findings revealed several circumferential ulcers with a clear margin 5-28cm from the ileocecal valve: all lesions were successfully resected. Pathological findings were consistent with ischaemic enteritis. We report a case of small intestinal obstruction resulting from stenotic ischaemic enteritis. The Author(s), 2013 Small intestinal obstruction nationallicence Ischaemic enteritis nationallicence Single balloon enteroscopy nationallicence Takeuchi Nobuhiro Division of Gastroenterology, Department of Internal Medicine, Kawasaki Hospital, 3-3-1 Higashiyama-cho, 652-0042, Kobe, Hyogo, Japan aut Naba Kazuyoshi Division of Gastroenterology, Department of Internal Medicine, Kawasaki Hospital, 3-3-1 Higashiyama-cho, 652-0042, Kobe, Hyogo, Japan aut Clinical Journal of Gastroenterology Springer Japan 6/4(2013-08-01), 281-286 1865-7257 6:4<281 2013 6 12328 https://doi.org/10.1007/s12328-013-0393-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12328-013-0393-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Takeuchi Nobuhiro Division of Gastroenterology, Department of Internal Medicine, Kawasaki Hospital, 3-3-1 Higashiyama-cho, 652-0042, Kobe, Hyogo, Japan aut NATIONALLICENCE 700 1- Naba Kazuyoshi Division of Gastroenterology, Department of Internal Medicine, Kawasaki Hospital, 3-3-1 Higashiyama-cho, 652-0042, Kobe, Hyogo, Japan aut NATIONALLICENCE 773 0- Clinical Journal of Gastroenterology Springer Japan 6/4(2013-08-01), 281-286 1865-7257 6:4<281 2013 6 12328 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer