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.