PMC6652069_01
Sigmoidoscopy shows numerous polypoid-appearing lesions (PCI) covering the sigmoid colon.
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Recently, the patient has undergone emergent sigmoidoscopy in another facility to decompress a twisted sigmoid colon, and it showed sigmoid colon with numerous polypoid-appearing lesions with grossly normal-appearing overlying mucosa (Figure 1).
Abdominal CT scan reveals massive gastric distension.
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Abdominal CT scan (pulmonary window) reveals PCI.
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Intraoperative findings of PCI of the small bowel.
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PCI disease was found covering the ileum (Figure 4) but without other intraoperative abnormalities. Partial distal gastrectomy, vagotomy, and Billroth II reconstruction were performed, and the intraoperative frozen section was negative for malignancy.
Surgical specimen shows extensive PCI involving the sigmoid colon.
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The patient then also underwent a sigmoid resection (Figures 5 and 6) with primary anastomosis of the descending colon and the rectum.
Surgical specimen shows extensive PCI involving the sigmoid colon, open specimen.
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The patient then also underwent a sigmoid resection (Figures 5 and 6) with primary anastomosis of the descending colon and the rectum.