A 37-year-old woman with Crohn’s ileitis and a persistent anorectal stricture presented for colonoscopy. During the procedure, a gastroscope was unable to traverse the anorectal stricture (A). Functional lumen imaging probe (EndoFlip Medtronic, Crospon Inc., Minneapolis, Minn, USA) procedure was performed to further evaluate the stricture. An 8-cm catheter was inserted into the rectum under endoscopic visualization. The stricture measured approximately 2 cm in length on EndoFlip. The balloon was inflated to 40 mL with a diameter of 9.2 mm and distensibility of 1.3 mm2/mm Hg and with minimal change in diameter (9.3 mm) and distensibility (1.4 mm2/mm Hg) at 50 mL, characteristic of a stricture (B).

A 51-year-old woman was referred to our hospital because of an ileocecal neoplasm. The patient had undergone a salpingo-oophorectomy for endometriosis 4 years earlier. MRI of the ileocecal region showed no significant findings (A). Magnified narrow-band imaging revealed regular ducts and no vessel pattern in the lesion (B). EUS showed a hypoechoic mass from the appendiceal lumen at the orifice, 8.2 mm × 6.1 mm, with a central hyperechoic nodule. After informed consent was obtained, endoscopic transcecal appendectomy (ETA) was performed.