PMC3981354_01
Metallic piece in the lumen of the thickened small bowel.
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F1
A computed tomography (CT) scan of the abdomen with IV and PO contrast revealed dilated, contrast-filled, small bowel loops, a short segment of small bowel with thickened bowel wall, and a small metallic ring within the lumen (Figure 1).
Mesenteric thickening and lymphadenoathy.
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F2
The colon was collapsed and mesenteric adenopathy was noted (Figure 2).
Small bowel carcinoid tumor seen in operating room.
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F3
Palpationrevealed a patchy, white, firm, napkin-ring-like deformity in the bowel wall with thickening and contracture of the surrounding mesentery (Figure 3).
Specimen opened to reveal the primary carcinoid tumor and the adjacent beer can lid induced mucosal damage.
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F4
The specimen was immediately dissected in the pathology lab (Figure 4).
Beer can lid retrieved from the small bowel lumen adjacent to the carcinoid tumor.
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F5
Additionally, a tab from a beer can was seen immediately proximal to the intraluminal mass (Figure 5).