case_images: PMC11830955_01
case_images: Abdominal X-ray erect image: showing dilated intestinal loops with air fluid levels.
case_images: cureus-0017-00000077603-i01.jpg
case_images: PMC11830955_01_cureus-0017-00000077603-i01.jpg
case_images: FIG1
case_images: An Erect abdominal X-ray suggested dilated intestinal loops, with air-fluid levels (Figure 1).
case_images: Abdominal CT scan image in coronal view showing dilated small bowel loops (white arrowhead) with the small bowel feces sign (white arrow).. CT: computed tomography
case_images: cureus-0017-00000077603-i02.jpg
case_images: PMC11830955_01_cureus-0017-00000077603-i02.jpg
case_images: FIG2
case_images: The distal ileum and the colon seemed to have collapsed, suggesting a small intestinal obstruction with enlarged mesenteric lymph nodes (Figure 2).
case_images: Abdominal CT scan image in coronal view showing anastamosis of the jejunum following resection of the jejunal growth (white arrow).. CT: computed tomography
case_images: cureus-0017-00000077603-i03.jpg
case_images: PMC11830955_01_cureus-0017-00000077603-i03.jpg
case_images: FIG3
case_images: The surgical team proceeded with resection and anastomosis of the jejunal growth with a 5 cm margin on either side (Figure 3).
case_images: Histopathological examination of the resected small bowel showing langhan type multinucleated giant cell (white arrow).
case_images: cureus-0017-00000077603-i04.jpg
case_images: PMC11830955_01_cureus-0017-00000077603-i04.jpg
case_images: FIG4
case_images: Multiple epithelioid granulomas with Langhan-type multinucleated giant cells were present in the lamina propria, with focal areas of necrosis and numerous tingible body macrophages (Figure 4).