PMC3268144_01
Simple abdominal X-ray presents multiple dilated small bowel loops.
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F1
Simple abdominal X-ray showed findings similar to those on the previous admission (Fig. 1).
Operative finding shows 4 x 4 cm sized mass which located 300 cm distal from ligament of Treitz and occluded the lumen of the jejunum by formation of intussusception.
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F2
Operative finding revealed intussusception of the jejunum, approximately 300 cm distal from ligament of Treitz (Fig. 2).
(A, B) Low power view of tumor cells infiltrating the mucosal wall and approaching the serosa (H&E, x40). (C) High power view of the tumor cells displaying prominent centroblastic features (H&E, x400).
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F3
The tumor cells were large, had high nuclear to cytoplasmic ratio, delicate chromatin, and exhibited prominent centroblastic features (Fig. 3).
(A, B) CD20 and CD79a, tumor cells displaying B-cell markers by Immunohistochemistry (H&E, x200). (C, D) CD10 and BCL-6, tumor cells displaying germinal center phenotype by immunohistochemistry (H&E, x200).
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F4
The tumor cells were positive for CD20, CD79a, CD10, and BCL-6 by immunohistochemistry (Fig. 4).