PMC5765279_01
Video capsule endoscopy revealed mucosal erosion (A) with blood clot at jejunum (B) (at about 60 cm distal to the ligament of Treitz).
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F1
A video capsule endoscopy was performed and revealed mucosal erosion with a blood clot at the jejunum (at about 60-70 cm distal to the ligament of Treitz) (Fig. 1).
Gastroendoscopy revealed mucosal erosions (A) on jejunum and performed bleeding control (C) by clipping due to chronic bleeding (B-D).
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F2
The patient underwent repeated gastroendoscopy (4 times) for bleeding control by clipping due to low his hemoglobin count and chronic bleeding (Fig. 2).
Macroscopically, (A) the mucosal surface was showed multifocal erosion (A) and some bright yellow-white multiple submucosal lesions are observed in specimen (resected jejunum) (B).
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F3
Macroscopically, the mucosal surface showed multifocal erosions, and multiple bright yellow-white submucosal lesions were observed in the resected jejunum (Fig. 3).
(A) Histologically, numerous dilated lymphatics are identified in submucosa in hematoxylin and eosin staining (x40). (B) The lymphatics are positive for D2-40 in immunohistochemical staining (x100). (C) Hematoxylin and eosin staining (x100).
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F4
The lymphatics were positive for D2-40, based on immunohistochemical staining (Fig. 4).