PMC3533629_01
Terminal ileum telescoping into distal ileum and subsequently into ascending colon. Appendix is seen in normal position.
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fig1
The telescoping had started in the terminal ileum and gone through the ileo-caecal valve with the apex extending up to midascending colon (Figure 1).
Externally visible tumor which served as a lead point. Note that the bowel is healthy, and mesenetry has no lymph nodes.
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fig2
There was a smooth nodule on the lateral wall of the terminal ileum at approximately 40 cm from IC junction (Figure 2).
Specimen of resected terminal ileum cut section showing lobulated intraluminal growth.
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fig3
On resection and gross-examination there was a 38 mm x 43 mm x 61 mm nodule in the wall of ileum (Figure 3) which on histopathology was revealed to be a lipoma (Figure 4).
Histopathology showing lipoma.
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fig4
On resection and gross-examination there was a 38 mm x 43 mm x 61 mm nodule in the wall of ileum (Figure 3) which on histopathology was revealed to be a lipoma (Figure 4).