RETROGRADED ENTEROCLYSIS BY DOUBLE BALLOON ASSISTED ENTEROSCOPY IN A PATIENT WITH BLUNT ABDOMINAL TRAUMA: SMALL BOWEL STRICTURE, INTRALUMINAL VASCULAR LESION AND CROHN´S DISEASE

A 40-year-old man presented with abdominal pain and diarrhea without fever two months later blunt abdominal trauma.

CT-angiography showed a pseudoaneurysm in proximal ileum and thickened and rigids small bowel loops.

Anal-double-balloon-enteroscopy (3,2mm) revealed an ulcerated stricture approximately 40cm of ileocecal valve, taking biopsies. The endoscope could´t be passed beyond that point, so hydrosoluble contrast media and carbon dioxide were administered through enteroscopy showing 5cm stenotic loop and distal pedunculated polyp. The histopathology report of biopsies showed aspecific ileitis. Laparoscopically assisted resection of ileum stricture was performed with primary anastomosis. The histopathological diagnosis was Crohn´s disease and pedunculated cavernous hemangioma.