PMC4802195_01
Preoperative findings.. Coronal view of contrast-enhanced computed tomography revealed wall thickening of the well enhanced terminal ileum and fluid collection with a contrast-enhanced wall at the ventral side of the ascending colon.
gr1.jpg
PMC4802195_01_gr1.jpg
fig0005
The wall at the ventral side of the ascending colon was also contrast-enhanced (Fig. 1).
Operative findings.. Laparotomy showed an edematous ileum and ascending colon, an abscess attached to the ascending colon and ileocecal lymphadenopathy.. A, appendix; C, cecum; I, ileum; arrow, abscess; arrowhead, lymphadenopathy.
gr2.jpg
PMC4802195_01_gr2.jpg
fig0010
Laparotomy showed an edematous ileum and ascending colon, with an abscess attached to the ascending colon and some ileocecal lymphadenopathy (Fig. 2).
Macroscopic findings and results of histopathological examination.. Macroscopic findings from the resected specimen (a). Histopathological examination of lymph nodes showed granulomas with follicle hyperplasia (H.E. stain, objective; x4) (b). Granulomas consisted of various inflammatory cells including lymphocytes and polymorphonuclear cells (arrow) (H.E. stain, objective; x20) (c).
gr3.jpg
PMC4802195_01_gr3.jpg
fig0015
Histopathological examination of lymph nodes showed granulomas with follicle hyperplasia, which were compatible with YP infection (Fig. 3).