PMC9871303_01
Colonoscopy revealed multiple white based ulcers on the terminal ileum.
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Colonoscopy showed a semi-circumferential white based ulcer on the terminal ileum (Fig. 1).
Terminal ileum biopsy showing acute on chronic inflammation with suspicious focus of granuloma.
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Biopsies were taken and submitted for histopathology revealing acute on chronic inflammation with suspicious focus of granuloma with no intact ileal mucosa appreciated (Fig. 2).
Intraoperative laparoscopic adrenalectomy.
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On the same admission, laparoscopic adrenalectomy (Fig. 3) of the left adrenal gland was performed showing adrenal cortical adenoma, consisting of a fairly pyramidal, brown to orange, doughy tissue, measuring 4.5 x 3.0 x 2.5 cm and weighing 50.0 g (Fig. 4) Microscopic sections showed features of adrenal cortical adenoma characterized by a well- encapsulated benign tumor composed of sheets of cells in an organoid pattern.
Adrenal gland left.
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On the same admission, laparoscopic adrenalectomy (Fig. 3) of the left adrenal gland was performed showing adrenal cortical adenoma, consisting of a fairly pyramidal, brown to orange, doughy tissue, measuring 4.5 x 3.0 x 2.5 cm and weighing 50.0 g (Fig. 4) Microscopic sections showed features of adrenal cortical adenoma characterized by a well- encapsulated benign tumor composed of sheets of cells in an organoid pattern.