PMC5512042_01
CT scan of the abdomen and pelvis showing inflammatory fat stranding in the small bowel mesentery (axial view).
CRIHEM2017-5498034.001.jpg
PMC5512042_01_CRIHEM2017-5498034.001.jpg
fig1
Redemonstration of inflammatory fat stranding in the small bowel mesentery (coronal view).
CRIHEM2017-5498034.002.jpg
PMC5512042_01_CRIHEM2017-5498034.002.jpg
fig2
Peripheral blood smear showing poikilocytosis, schistocytosis, thrombocytopenia, and a hypersegmented neutrophil (arrow).
CRIHEM2017-5498034.003.jpg
PMC5512042_01_CRIHEM2017-5498034.003.jpg
fig3
Peripheral blood smear revealed an abundance of schistocytes and occasional hypersegmented neutrophils (see Figures 3 and 4).
Magnified view of hypersegmented neutrophils.
CRIHEM2017-5498034.004.jpg
PMC5512042_01_CRIHEM2017-5498034.004.jpg
fig4
Peripheral blood smear revealed an abundance of schistocytes and occasional hypersegmented neutrophils (see Figures 3 and 4).
Bone marrow smear showing multinucleated red cell (white arrow), typical megaloblast (arrowhead), and mitotic phase cell (yellow arrow).
CRIHEM2017-5498034.005.jpg
PMC5512042_01_CRIHEM2017-5498034.005.jpg
fig5
Bone marrow smear and biopsy were performed confirming erythroid hyperplasia and megaloblastic anemia (see Figures 5 and 6).
Bone marrow smear showing erythroid hyperplasia with dysplastic features and megaloblastic changes.
CRIHEM2017-5498034.006.jpg
PMC5512042_01_CRIHEM2017-5498034.006.jpg
fig6
Bone marrow smear and biopsy were performed confirming erythroid hyperplasia and megaloblastic anemia (see Figures 5 and 6).
EGD showing two firm sessile polyps.
CRIHEM2017-5498034.007.jpg
PMC5512042_01_CRIHEM2017-5498034.007.jpg
fig7
Esophagogastroduodenoscopy (EGD) was performed as outpatient showing two large, sessile polyps in the gastric body (see Figure 7) that were completely removed.