case_images: PMC10715586_01
case_images: Computed tomography of the abdomen and pelvis indicated (A, B) dilated proximal bowel loops and multiple air-fluid levels due to (C) a 6.1 x 5.7-cm, approximately spherical, well-delineated heterogeneous cystic and hyperdense jejunal mass and (D) mild intestinal volvulus, without indicators of intestinal ischemia or necrosis.
case_images: fonc-13-1326032-g001.jpg
case_images: PMC10715586_01_fonc-13-1326032-g001.jpg
case_images: f1
case_images: C-reaction protein (36 mg/L; reference range, <5 mg/L). Contrast-enhanced computed tomography (CT) of the abdomen and pelvis demonstrated dilated proximal bowel loops and multiple air-fluid levels due to a 6.1 x 5.7-cm, approximately spherical, well-delineated heterogeneous cystic and hyperdense jejunal mass and mild intestinal volvulus, without indicators of intestinal ischemia or necrosis (Figure 1). Therefore, laparoscopy-assisted resection surgery was performed according to the following steps: (1) adhesionlysis and complete mobilization of the intra-abdominal mass; (2) extracorporeal resection with wide surgical margin of the mass and segmental jejunum; (3) primary side-to-side jejunojejunostomy; (4) check for a safe anastomosis and no intestinal volvulus under laparoscopy; (5) peritoneal irrigation and drainage placement (Supplementary Material Figure S1; Supplementary Material Video S1).
case_images: Gross examination of the surgical specimen demonstrated a 6 x 6 x 5-cm, approximately spherical mass of fibrous hyperplasia adherent to the jejunal wall (A-C), which contained a 20 x 20-cm gauze (D).
case_images: fonc-13-1326032-g002.jpg
case_images: PMC10715586_01_fonc-13-1326032-g002.jpg
case_images: f2
case_images: Gross examination of the resected specimen demonstrated a 6 x 6 x 5 cm in dimension, approximately spherical mass of fibrous hyperplasia adherent to the jejunal wall, which contained a 20 x 20-cm surgical gauze (Figure 2).
case_images: Timeline of the case presentation with relevant data from the episode of care. SBO, small bowel obstruction; CT, computed tomography; ERAS, enhanced recovery after surgery.
case_images: fonc-13-1326032-g003.jpg
case_images: PMC10715586_01_fonc-13-1326032-g003.jpg
case_images: f3
case_images: The timeline with corresponding clinical data from the period of care is shown in Figure 3.