case_images: PMC6864317_01
case_images: Prominent hyperkeratosis, mucin deposition and upper dermal perivascular mononuclear infiltrates.
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case_images: PMC6864317_01_gr1.jpg
case_images: fig0005
case_images: Skin biopsy showed hyperkeratosis, mucin deposition and upper dermal perivascular mononuclear infiltrates (Fig. 1).
case_images: Intra-operative findings: 1.5-cm perforation hole over jejunum. The bowel around the perforation was found to be inflamed and ugly looking. Overall color of bowel and mesentery turned dark.
case_images: gr2.jpg
case_images: PMC6864317_01_gr2.jpg
case_images: fig0010
case_images: A 2 x 1 cm sized perforation in the antimesenteric border of proximal jejunum was identified (Fig. 2).
case_images: Post-operative findings: Specimen of the resected segment of the small bowel showing massive intestinal and mesenteric infarction.
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case_images: PMC6864317_01_gr3.jpg
case_images: fig0015
case_images: Approximately 50 cm of discolored jejunum, including the perforation, was resected and end-to-end anastomosis was performed (Fig. 3).
case_images: (A) Mesenteric small-vessel vasculitis. (B) Vascular thrombosis with a perivascular inflammatory cell infiltration.
case_images: gr4b.jpg
case_images: PMC6864317_01_gr4b.jpg
case_images: fig0020
case_images: Pathologic examination showed mesenteric small-vessel vasculitis (Fig. 4-A). In addition, there was vascular thrombosis with a perivascular inflammatory cell infiltration (Fig. 4-B).