GIANT HYPERTROPHY OF JEJUNAL RUGAE, 13478

13478              GIANT HYPERTROPHY OF JEJUNAL RUGAE

 

This is a surgical specimen from a male patient who had recurrent abdominal pain with vomiting for 3 years.  On the last two occasions a mass could be felt in the upper abdomen. Laparotomy during one of the obstructive episodes showed a high jejunal intussusception involving about 25cms of the bowel.  Resection with end-to-end anastomosis was carried out.

 

The specimen is the resected 10 cms of jejunum opened to disclose a polypoid mass of hypertrophied rugae projecting into the lumen from the circular folds of the jejunum.  This mass formed the head of the intussusception.  Histology shows no evidence of malignancy.

Last modified: Monday, 31 July 2017, 10:00 AM