PMC7569260_01
Simple X-ray of the abdomen, showing a small intestine loop distension.
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A simple abdominal X-ray (Fig. 1) and contrasted abdominal X-ray (Fig. 2) were performed, suggesting a hypothesis of type I jejunal atrophy (in membrane).
Intraoperative finding of a stenotic area with a purplish hue.
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After correcting the hydroelectrolytic disorders, the patient underwent a supraumbilical transverse exploratory laparotomy, with an intraoperative procedure of a stenotic area in the proximal jejunum (Fig. 3, Fig. 4), measuring the entire length of the small intestine and colon without other areas of stenosis.
Presence of kaposiform hemangioma.
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Slides revealed a lobular proliferation of small vessels, infiltrating the small bowel wall, from submucosa through muscularis propria and subserosa (Fig. 5).
The CD34 was positive.
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Immunostains showed positivity of the neoplastic endothelium to CD31 and CD34 (Fig. 6) and low ki-67 index (Fig. 7).
The HHV-8 was negative.
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HHV-8 was negative (Fig. 8).