Colonic Stenting Before Endoscopic Ultrasound-Guided Enterocolostomy in Malignant Small Bowel Obstruction.

Malignant Small Bowel Obstruction (MSBO) is a debilitating complication of intra-abdominal malignancies, characterized by symptoms such as intractable nausea, vomiting, and abdominal pain. Surgical intervention may become necessary for symptom management if conservative measures fail, although it carries a significant risk of postoperative morbidity. Endoscopic ultrasound-guided enterocolostomy is an emerging alternative for palliative management of MSBO when other surgical or endoscopic interventions are not feasible or have failed. We present a case of a 50-year-old woman with MSBO secondary to metastatic squamous cell carcinoma of cervix who required the placement of a luminal colonic stent in the sigmoid colon before undergoing endoscopic ultrasound-guided enterocolostomy.