case_images: PMC4320181_01
case_images: Total colonoscopy (TCS) revealed oval-shaped deep ulcers on the terminal ileum with deformity and destruction of the ileocecal valve.
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case_images: Fig1
case_images: Total colonoscopy (TCS) revealed oval-shaped deep ulcers on the terminal ileum with deformity and destruction of the ileocecal valve (Figure 1).
case_images: Gross findings from the resected specimen. (A and B) The ileocecal valve was highly deformed and destroyed by deep ulcers. (C) Large and small ulcers were diffusely-scattered on the ileal mucosa, from the ileocecal valve to 30 cm the oral side.
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case_images: Fig2
case_images: Furthermore, large and small ulcers were diffusely-scattered on the ileal mucosa, from the ileocecal valve to 30 cm on the oral side (Figure 2).
case_images: Pathological findings from the resected specimen. (A and B) There was nonspecific inflammation in the ulcers. There were no specific findings such as granulomas, CMV-infected cells, vasculitis or thrombus formation. (C) The mucosa around the ulcers remained relatively normal in structure. (Hematoxylin and eosin stain).
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case_images: Fig3
case_images: The mucosa around the ulcers remained relatively normal in structure (Figure 3).
case_images: Total colonoscopy revealed multiple deep and round ulcers developing on the anastomotic site, and multiple erosions and aphthae were observed on the oral side of the small and large intestine.
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case_images: Fig4
case_images: We also observed multiple erosions and aphthae on the oral side of the small intestine and large bowel from the ascending colon to the rectum (Figure 4).
case_images: Total colonoscopy shows significant improvement of the ulcers on the anastomosis site.
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case_images: Fig5
case_images: We identified ulcer scars at the anastomosis site and inflammation of the large intestine improved (Figure 5).