PMC6230413_01
CT scan of the abdomen and pelvis showing a dilated jejunum and transition point.
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Initial computed tomography (CT) scan showed a SBO with transition point in the jejunum (Figure 1) and multiple nonspecific ill-defined liver lesions (Figure 2), worrisome for a malignant obstruction with liver metastases.
CT scan showing some of the multiple ill-defined liver lesions concerning for metastatic disease in setting of a primary SBO.
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Initial computed tomography (CT) scan showed a SBO with transition point in the jejunum (Figure 1) and multiple nonspecific ill-defined liver lesions (Figure 2), worrisome for a malignant obstruction with liver metastases.
Repeat CT scan showing the absence of the previous liver artifacts.
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Repeat CT scan at the time of a planned CT-guided liver biopsy showed the absence of the previous liver lesions, now known to be artifactual (Figure 3).
Intraoperative laparoscopic view of dilated jejunum.
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Diagnostic laparoscopy showed a dilated proximal jejunum with no adhesions (Figure 4).
(a, b) Intraoperative view of proximal jejunum after enterotomy showing phytobezoar. (c) Copious amounts of evacuated seaweed.
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An enterotomy was made and revealed a copious amount of obstructing seaweed (Figure 5).