PMC4201022_01
Total occlusion at duoudenojejunal junction and severe dilatation of stomach and duodenum at abdominal tomography (a), obstruction of distal duodenum did not allow the passage of contrast (b).
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Abdominal tomography revealed total occlusion at duoudenojejunal junction and severe dilatation of stomach and duodenum (Fig. 1a). Plain radiography of abdomen with oral water-soluble contrast revealed obstruction of distal duodenum not allowing the passage of contrast (Fig. 1b).
Complete stricture of duodenum caused obstruction.
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Treitz. The cause of the obstruction was complete stricture of duodenum (Fig. 2).
Granulation tissue, composed of dilated, congested vascular structures, hemosiderin-laden macrophages, edema and inflammatory cells were seen (hematoxylin-eosin, 100x).
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Histopathological examination of biopsy taken from stricture site revealed granulation tissue with a number of hemosiderin-laden macrophages, composed of dilated, congested vascular structures, and inflammatory cells (Fig. 3).