case_images: PMC4310203_01
case_images: CT scan of the chest. CT of the thorax (horizontal section) showing a large mass measuring 4.6 x 12.0 x 8.1 cm, encasing the left pulmonary artery and segmental branches (arrows).The mass also abutts the left mainstem bronchus with partial encasement. Moderate-sized left pleural effusion (arrow heads).
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case_images: PMC4310203_01_40364_2014_23_Fig1_HTML.jpg
case_images: Fig1
case_images: Computed tomography (CT) and positron emission tomography (PET) scans showed a large left upper lobe fludeoxyglucose (FDG)-avid mass (standardized uptake value (SUV) 14.3) and enlarged left supraclavicular lymph nodes with avid FDG uptake (SUV 4.0) (Figures 1 and 2).
case_images: Whole body PET scan using 18 F-FDG. PET scan shows a left upper thorax tumor mass (arrow) and metastases to left supraclavicular lymph nodes (arrow head).
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case_images: PMC4310203_01_40364_2014_23_Fig2_HTML.jpg
case_images: Fig2
case_images: Computed tomography (CT) and positron emission tomography (PET) scans showed a large left upper lobe fludeoxyglucose (FDG)-avid mass (standardized uptake value (SUV) 14.3) and enlarged left supraclavicular lymph nodes with avid FDG uptake (SUV 4.0) (Figures 1 and 2).
case_images: CT scan of the abdomen. CT scan of the abdomen showing a distention of small bowel loops with several air-fluid levels.
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case_images: PMC4310203_01_40364_2014_23_Fig3_HTML.jpg
case_images: Fig3
case_images: CT scan revealed small bowel distention with multiple air-fluid levels (Figure 3). Considering possible mechanical bowel obstruction surgery was consulted and the patient underwent small bowel resection of the terminal ileum and cecum.
case_images: H & E stains of resected sample of the small intestine. The myenteric plexi show an increased lymphoid infiltrate (100x, arrows), with a few plexi having a rather dense lymphoplasmacytic infiltrate (400x, arrows) consistent with myenteric ganglioneuritis. Magnification as indicated.
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case_images: PMC4310203_01_40364_2014_23_Fig4_HTML.jpg
case_images: Fig4
case_images: However, no tumorous obstruction was found and histologic examination of the resected sample revealed intense lymphoplasmacytic infiltration consistent with myenteric ganglioneuritis as this is typically found in CIPO (Figure 4).