Ileoscopy in the Asymptomatic Patient

In the field of modern gastroenterology, ileoscopy has opened up new frontiers in the diagnosis of intestinal diseases [1]. Exploration of the terminal ileum during total colonoscopy has gained much greater acceptance among endoscopists, based on its diagnostic accuracy in patients with intestinal diseases, including neoplasms [2]. Whether a routine terminal ileoscopy should be mandatory when performing a screening colonoscopy remains to be assessed. However, many authors seem to agree that, at the very least, an ileoscopy should always be attempted, because it allows an accurate diagnosis even in asymptomatic patients [3]. Here we present a clinical case in which ileoscopy enabled the definitive treatment of a rare tumor located in the terminal ileum.