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Interesting Case of the Month - (IGHP, ICOM) - June

Clinical History-

33-year-old male was admitted with complaints of abdominal pain underwent segmental jejunal resection for suspected jejunal Intussusception.

Radiology-

NCCT Scan of abdomen-

There is evidence of abrupt narrowing present at mid segment of jejunum with distal Bird Beak appearance. Proximal small bowel is moderately dilated.

Gross Images-

Microscopic Images-

Microscopic image showed dense diffuse infiltrate of intermediate sized cell with areas of starry sky appearance.

Immunohistochemistry -

Immunohistochemistry performed for CD45, CD20, CD3, BCL2, BCL6, CD10, KI67 and EBV. The neoplastic cells are positive for CD20, CD10 and BCL6. The cells are negative for CD3, BCL2 and EBV. Ki67 index was approaching 100%.