Success of Minimally Invasive Transumbilical Single-Incision Laparoscopic Surgery (T-SILS) Plus Double-Balloon Endoscopy (DBE) for XXXX : A Case Report.

@entity1 @entity548 @entity75 @entity2817 @entity1211 @entity360
We describe here a @entity1 with @entity2817 of the small intestine, diagnosed by double-balloon endoscopy (DBE), who was treated with transumbilical single-incision laparoscopic surgery (T-SILS). A 9-year-old @entity1 presented to another hospital with intermittent fresh melena of a duration of 5 months and 4 days. Anoscopy and gastric mucosal membrane scintigraphy were unsuccessful diagnostically, and he was referred to our hospital for further examination and treatment. Under general anesthesia, we performed DBE by an anal route, with the ileum assessed for a distance of about 150 cm from the ileocecal valve. Although no @entity548 lesion was found in the colon, a flat elevated @entity1211 approximately 20 mm in size was observed 20 cm from the ileocecal valve, suggesting @entity2817 of the small intestine. A tattoo was made under DBE, and wedge resection by T-SILS was performed 1 month later under general anesthesia. The excised specimen appeared as a flat, elevated @entity1211 approximately 20 mm in size. Histopathologic analysis revealed several dilated and distorted veins within the submucosa of the small intestine. The @entity1 was diagnosed with @entity2817 of the small intestine. His postoperative course was uneventful, and he remained free of recurrent @entity360 18 months after the operation. This is the first case report showing the diagnosis, localization, and tattooing of an obscure @entity360 lesion of the small intestine by preoperative @entity75 by subsequent T-SILS in @entity1 .
