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.
