EUS-guided ileorectal anastomosis for relief of complete benign small-bowel obstruction (with video)

Abstract

A 52-year-old man underwent an ileorectal anastomosis after a subtotal colectomy because of acute complicated diverticulitis. Seven days later, a CT scan revealed a pneumoperitoneum (A), but no clear perforation was discovered during surgery. Endoscopy disclosed a complete stenosis of the anastomosis, 15 cm from the dentate line, which prevented us from advancing a guidewire (B). A linear-array echoendoscopy (performed with EUS) was performed through the rectum, and the ileal loop with liquid inside was identified.