PMC3113160_01
The cystic mass is identified in the small bowel.
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F1
The abdominal cavity was inspected and immediately a 6 x 5 cm ileal cystic dark mass was identified in the pelvic area (Figure 1).
Exteriorized tumor.
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F2
The umbilical incision was extended 3 cm downwards, the wound protected, the tumor exteriorized (Figure 2), and a 20 cm ileal resection was performed, followed by a termino-terminal stapler anastomosis. The postoperative course was uneventful: a liquid diet was tolerated the following day, a normal bowel movement occurred on postoperative day 2, and the patient was discharged on postoperative day 4 and remains asymptomatic 18 months later.
Macroscopic appearance of the tumor.
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F3
The base of implantation was 3 cm wide, and part of the neoplasia protruded through the bowel wall, creating a dumbbell shape (Figure 3).
Microscopic appearance of the mass.
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F4
There were 2 mitotic figures in a 150 hpf count, no necrotic foci, no pleomorphic cells nor "skeinoid" fibers, and only scattered hemorrhagic areas (Figure 4).