Clin Endosc.  2023 Jul;56(4):534-536. 10.5946/ce.2023.014.

Rare cause of granulomatous enteritis

Affiliations
  • 1Division of Gastroenterology, Department of Internal Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea


Figure

  • Fig. 1. (A, B) Colonoscopy showing multiple polypoid masses with ulcers and hyperemia in the terminal ileum. (C, D) Contrast-enhanced abdominal computed tomography showing a polypoid mass in the terminal ileum with marked enhancement and enlargement of the regional lymph nodes. (E, F) Positron emission tomography scan showing increased fluorodeoxyglucose uptake in the terminal ileum, regional lymph nodes, right upper lobe, and mediastinal lymph nodes.

  • Fig. 2. Video-assisted thoracic wedge resection of the right upper lobe with mediastinal lymph node dissection. (A) Diffused dense pleural adhesions and anthracotic pigmentation of parenchyma. (B) Pulmonary nodule of the right upper lobe and multiple enlarged conglomerated mediastinal lymph nodes. (C) Resected pulmonary nodule in the right upper lobe.

  • Fig. 3. Histopathological examination reveals noncaseating granulomatous inflammation in the submucosal layer (hematoxylin and eosin stain, ×400).


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