PMC3400353_01
CT findings. (a) Abdominal CT showed the small bowel tumor (arrow). (b) Invagination of a part of the small bowel (arrow).
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fig1
Abdominal CT scan revealed a wall thickness in the small intestine (Figures 1(a) and 1(b)).
(a) Capsule endoscopy image: CE shows a mass located in the jejunum (arrow). (b) FICE image setting 1 (red 595 nm, green 540 nm, blue 535 nm). (c) FICE image setting 2 (red 420 nm, green 520 nm, blue 530 nm). The mucosal contrast of the tumor was enhanced by FICE settings 1 and 2.
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fig2
We conducted a capsule endoscopy and found part of a tumor in the small intestine, suggesting small bowel tumor (Figure 2(a)). In particular, the mucosal contrast of the tumor was enhanced by the effect of the spectral specification of flexible spectral imaging color enhancement (FICE) settings 1 and 2 (Figures 2(b) and 2(c)).
Double-balloon endoscopy showing a 0-Ip polyp in the jejunum. The surface of the polyp was multinodular and villous, and its stalk was slightly reddened.
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fig3
SE showed a multinodular polyp (type Ip) 20 x 15 mm in diameter located about two meters distal to the ligament of Treitz (Figure 3).
Histological analysis of the EMR specimen showed moderately-differentiated tubular adenocarcinoma with papillary adenocarcinoma. H&E stain. Magnification x200 (bar = 100 mum).
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fig4
Histological examination showed adenocarcinoma (Figure 4).