Department of Pathology, University of Oklahoma Health Sciences Center
March 2009, Case 903-1.
A 34 year-old woman with history of Crohn's disease, abdominal pain and two masses in the transverse mesocolon.
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Clinical information: The patient was a 34 year-old woman with a 1 to 1.5 years history of abdominal pain. A colonscopy performed in the referring institute suggested Cronh's disease. On further work up, CT scan reviewed two mass in the terminal ileum suspicious of carcinoid tumor. On operation, two hard masses, 3.4 and 2.5 cm in greatest dimension respectively, were discovered in her transverse mesocolon. The terminal ileum showed creeping fat and fibrotic thickening grossly consistent with Crohn's disease. Macroscopically, the nodules were irregular and stone hard.
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Cases of the Month Evaluation Coordinator: KarMing-Fung@ouhsc.edu
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