PMC3867894_01
(a) Upper gastrointestinal endoscopy showing linitis plastic-like appearance and diffuse erythema. (b) Computer tomography showing the intra-abdominal adenopathy.
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Computed tomography scan of the abdomen and pelvis revealed extensive adenopathy in the mesentery and retroperitoneum (Figure 1(b)). Esophagogastroduodenoscopy done during the hospital stay was significant for poor gastric insufflation and the wall of the stomach looked very rigid with diffuse erythema resembling linitis plastica, without any evidence of ulcers or tumors (Figure 1(a)).
Histopathology of the upper gastrointestinal endoscopic biopsies revealing several small noncaseating epitheloid cell granulomas (arrow heads) and without any evidence of dysplasia or intestinal metaplasia (b) (100x) (c) (400x) showing the noncaseating granuloma.
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Histopathology revealed chronic and acute inflammation with several small noncaseating granulomas composed of epithelioid, histiocytes, and multinucleated giant cells without any evidence of dysplasia or intestinal metaplasia (Figure 2).