PROBLEM TO BE SOLVED: To provide an intracavitary lighting device capable of performing appropriate exposure and an endoscope using the intracavitary lighting device, in order to image a picture having an expanded dynamic range.SOLUTION: An intracavitary lighting device comprises an internal part 102 to be inserted into the inside of body cavity 163 with an endoscope 2. The internal part 102 comprises: a lighting unit 123 for lighting up the inside of body cavity 163 a light receiving unit 128 for receiving first lighting light 164 from the endoscope 2 and a lighting control unit which detects a drive state of the first lighting light 164 on the basis of output of the light receiving unit 128 and determines a drive condition for the lighting unit 123.COPYRIGHT: (C)2015,JPO&INPIT【課題】ダイナミックレンジが拡大された画像を撮像するために、適切な露光を行うことが可能な体腔内照明装置および体腔内照明装置を用いた内視鏡システムを提供すること。【解決手段】内視鏡2とともに体腔内163に挿入される体内部102を備え、前記体内部102は、体腔内163を照明する照明ユニット123と、前記内視鏡2からの第1照明光164を受光する受光部128と、前記受光部128の出力に基づいて前記第1照明光164の駆動状態を検出し、前記照明ユニット123の駆動条件を決定する照明制御部と、を備える。【選択図】図2