PMC4936329_01
US showed a widespread dilated fluid-filled bowel and a mesogastric image of multiple anechoic areolas.
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CT highlighted the important distension of a central abdominal intestinal loop with air-fluid levels and a convolute aspect, suspect for intestinal volvolus.
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A big soft mass, with a milky content, completely involving about 50 centimetres of ileus was revealed after a laparotomy.
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Several voluminous lymph nodes were attached to the mass (Fig. 3).
A completed abdominal mass excision was done including a 50 centimetres bowel resection.
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After solving the volvulus, a completed abdominal mass excision was conducted performing a 50 cm bowel involved resection as well (Fig. 4).
A - Hematoxilin and Eosin, x2.5 The lesion is composed by numerous dilated, irregularly shaped lymphatic channels. B - The vascular channels highlighted with D2-40 immunostaining.
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The channels were highlighted with D2-40 immunostaining (Fig. 5).