PMC5387811_01
Axial and coronal CT scan showing a mass at proximal jejunum, with nearby free air and liver metastasis.
CRIS2017-1814254.001.jpg
PMC5387811_01_CRIS2017-1814254.001.jpg
fig1
A computed tomography scan revealed a hypodensic mass of 9.5*6.4 cm at proximal jejunum leading to narrowing of the lumen, with a nearby free air and fluid, small amount of fluid at the pelvis, and multiple hypodensic masses at right liver (Figure 1).
At laparotomy: mass at proximal jejunum with blowout perforation of 1 cm on the lateral wall of the mass.
CRIS2017-1814254.002.jpg
PMC5387811_01_CRIS2017-1814254.002.jpg
fig2
Due to these findings, the patient underwent an exploratory laparotomy, during which a mass of 9 cm, located 3 cm distal to treitz ligament, was found, with a blowout perforation of 1 cm diameter at the lateral wall along with a large amount of purulent fluid (Figure 2).
PMC5387811_02
Axial and coronal CT angiography of the abdomen showing a calcified mass at the right pelvis, attached to the distal ileum with intraluminal contrast blush.
CRIS2017-1814254.003.jpg
PMC5387811_02_CRIS2017-1814254.003.jpg
fig3
A computed tomography angiography revealed a lobular mass of 8 cm diameter, with calcifications at the pelvis, attached to the distal ileum, with intraluminal blush of contrast material (Figure 3).
At laparotomy, a hypervascular calcified mass of 8 cm arising from the distal ileum, with ongoing intraluminal bleeding.
CRIS2017-1814254.004.jpg
PMC5387811_02_CRIS2017-1814254.004.jpg
fig4
The mass was partly calcified and seemed to rise from the distal ileum (Figure 4).