An 81-year-old woman visited our hospital due to abdominal pain. Abdominal computed tomography (CT) examination showed hepatic portal venous gas, intramural gas and dilation of the small intestine. Following intestinal decompression by nasogastric tube 1 day after admission, CT showed disappearance of hepatic portal venous gas and wall thickening of the small intestine. Endoscopic examination using the single balloon method showed circular stenosis and an ulcer in the ileum. Since the passage of the stenotic site on the ileum did not improve with non-surgical management, single-incision laparoscopic surgery was performed in order to diagnose and treat the stenosis. Resection of the small intestine followed by anastomosis and cholecystectomy for combined cholecystitis developed during non-surgical managements, was performed with a minimal umbilical incision.
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