PMC4337931_01
Abdominal CT-scan that displays moderate ascites, mesenteric lymphadenopathy, and diffuse small bowel and colonic wall thickening concentrating in the cecum.
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An abdominal CT-scan was performed (Fig. 1), displaying moderate ascites, mesenteric lymphadenopathy, diffuse small bowel, and colonic wall thickening, concentrating in the cecum.
Surgical specimen.
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Hence, we decided to perform a right colectomy, with an 80 cm terminal ileum resection (Fig. 2), an ileostomy on the right side of the abdominal wall and a colonic mucous fistula on the left side.
The histological findings in the surgery specimen mimicked a chronic inflammatory bowel disease Crohn type: distortion of glandular pattern, decreased goblet cells and crypt abscesses.
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The histopathological findings of the surgical specimen (Fig. 3) revealed a severe distortion of glandular pattern, decreased goblet cell number, crypt abscesses and necrotic areas.