PMC6590537_01
Abdominal computed tomography scan showing thickening of the small bowel wall.
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Due to ongoing abdominal pain, a CT of the abdomen was performed, which revealed thickening of a segment of the small bowel wall and signs of possible microperforation (Figure 1).
Necrotic segment of the small bowel.
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Surgical exploration showed a necrotic segment of the jejunum, 45 cm of the mid-jejunum was resected (Figure 2).
Histopathology slide showing hemorrhage, necrosis, and acute inflammation of the intestine.
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Clinical presentation and histological evaluation were consistent with an autoimmune process with small vessel vasculitis (Figure 3).