case_images: PMC6652069_01
case_images: Sigmoidoscopy shows numerous polypoid-appearing lesions (PCI) covering the sigmoid colon.
case_images: CRIS2019-4065749.001.jpg
case_images: PMC6652069_01_CRIS2019-4065749.001.jpg
case_images: fig1
case_images: Recently, the patient has undergone emergent sigmoidoscopy in another facility to decompress a twisted sigmoid colon, and it showed sigmoid colon with numerous polypoid-appearing lesions with grossly normal-appearing overlying mucosa (Figure 1).
case_images: Abdominal CT scan reveals massive gastric distension.
case_images: CRIS2019-4065749.002.jpg
case_images: PMC6652069_01_CRIS2019-4065749.002.jpg
case_images: fig2
case_images: Abdominal CT scan (pulmonary window) reveals PCI.
case_images: CRIS2019-4065749.003.jpg
case_images: PMC6652069_01_CRIS2019-4065749.003.jpg
case_images: fig3
case_images: Intraoperative findings of PCI of the small bowel.
case_images: CRIS2019-4065749.004.jpg
case_images: PMC6652069_01_CRIS2019-4065749.004.jpg
case_images: fig4
case_images: PCI disease was found covering the ileum (Figure 4) but without other intraoperative abnormalities. Partial distal gastrectomy, vagotomy, and Billroth II reconstruction were performed, and the intraoperative frozen section was negative for malignancy.
case_images: Surgical specimen shows extensive PCI involving the sigmoid colon.
case_images: CRIS2019-4065749.005.jpg
case_images: PMC6652069_01_CRIS2019-4065749.005.jpg
case_images: fig5
case_images: The patient then also underwent a sigmoid resection (Figures 5 and 6) with primary anastomosis of the descending colon and the rectum.
case_images: Surgical specimen shows extensive PCI involving the sigmoid colon, open specimen.
case_images: CRIS2019-4065749.006.jpg
case_images: PMC6652069_01_CRIS2019-4065749.006.jpg
case_images: fig6
case_images: The patient then also underwent a sigmoid resection (Figures 5 and 6) with primary anastomosis of the descending colon and the rectum.