case_images: PMC5582400_01
case_images: Evanescent flushing on a The chest, b The back, c The hand, d The leg
case_images: 40413_2017_161_Fig1_HTML.jpg
case_images: PMC5582400_01_40413_2017_161_Fig1_HTML.jpg
case_images: Fig1
case_images: Nine minutes after the ingestion he presented an evanescent erythematous rash on the face, trunk and extremities (Fig. 1), which lasted 12 min and resolved spontaneously.
case_images: Abdominal CT-scan showing liver metastasis
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case_images: PMC5582400_01_40413_2017_161_Fig2_HTML.jpg
case_images: Fig2
case_images: The CT scan showed thickening of the distal ileum and multiple lesions on both hepatic lobules (Fig. 2).
case_images: Colonoscopy with primary suspected tumor
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case_images: PMC5582400_01_40413_2017_161_Fig3_HTML.jpg
case_images: Fig3
case_images: To further evaluate these lesions, a colonoscopy was done which revealed (Fig. 3) a prominent ileocecal valve with a mammillated and eroded lesion.
case_images: Ileocecal valve mucosa biopsy showing a grade 2, well-differentiated NET a Hematoxylin and eosin (H&E) staining b Intense reactivity to chromogranin staining c KI 67 staining determined a 1% proliferation cellular index
case_images: 40413_2017_161_Fig4_HTML.jpg
case_images: PMC5582400_01_40413_2017_161_Fig4_HTML.jpg
case_images: Fig4
case_images: The hepatic and intestinal biopsies identified a well-differentiated grade 2 primary NET (Fig. 4) of the ileocecal valve with hepatic metastasis.