Acute pancreatitis: rare complication of retrograde single-balloon enteroscopy

Abstract

A 46-year-old woman with chronic renal disease was diagnosed as having pulmonary tuberculosis. She was passing fresh melena intermittently. Upper endoscopy was unremarkable and colonoscopy, which was carried out four times, only revealed small cecal ulcers and fresh blood coming from the small bowel. A retrograde (per rectal) single-balloon enteroscopy (SBE) was carried out. The balloon was inflated when the enteroscope was still in the colon, for assisting in terminal ileal intubation. A large ulcer was found in the distal ileum, 50 cm proximal to the ileocecal valve ([Fig. 1]).