PMC9905710_01
Imaging examination: (A) Digital radiology and CT scanning showed gas and fluid accumulation in the small intestine and indicated intestinal obstruction. (B) Liquid, air and high intestinal tension were visible (lesion was marked with yellow arrow).
fonc-13-1066153-g001.jpg
PMC9905710_01_fonc-13-1066153-g001.jpg
f1
Emergency CT indicated a small intestinal obstruction ( Figure 1 ).
Surgical finding: (A) The cancer caused this part of the ileum to become ischemic and pale; (B) Annular stenosis in the ileum is indicated by the yellow circles.
fonc-13-1066153-g002.jpg
PMC9905710_01_fonc-13-1066153-g002.jpg
f2
The intestine was obstructed as evidenced by a dilated proximal bowel with blood, edematous fluid, and intestinal contents and collapsed distal bowel with many enlarged lymph nodes in the mesentery. ( Figure 2 ).
Microscopic view of the ileal adenocarcinoma. An ulcerative high-grade tubular adenocarcinoma had invaded the entire ileal wall. [Hematoxylin & eosin staining, (A)x100 and (B)x200].
fonc-13-1066153-g003.jpg
PMC9905710_01_fonc-13-1066153-g003.jpg
f3
It was an ulcerative high-grade tubular adenocarcinoma, which had invaded the whole ileal wall ( Figure 3 ).
CT imaging: The metastatic liver lesion and low-density lesions in the liver was shown by CT (lesion was marked with yellow arrow) [(A), (B) reflect different anatomical layers].
fonc-13-1066153-g004.jpg
PMC9905710_01_fonc-13-1066153-g004.jpg
f4
Enhanced CT scanning of her whole abdomen revealed multiple niduses in the liver, the largest being 2.6 cm, which indicated metastatic lesions ( Figure 4 ).
Ultrasound imaging: The gestational sac in the uterus was detected by ultrasound examination.
fonc-13-1066153-g005.jpg
PMC9905710_01_fonc-13-1066153-g005.jpg
f5
At the same time, she showed signs of cessation of menstruation, but an intrauterine gestational sac was found by color ultrasonography examination at the last follow-up on April 23 ( Figure 5 ).