Changes

This 58-year-old male experienced increasing diarrhea (up to 10-12 yellow watery stools per day) over the year 4 months prior to admission. During this period he experienced a weight loss of 40 pounds. A Imaging demonstrated a lesion a the ileocecal valve and a laparotomy was performed after . The operative specimen consisted of 12 cm of distal ileum, appendix, cecum and colon. On opening the bowel there was a careful workup4.5 x 3 x 3-cm elliptical submucosal mass at the ileocecal valve that had produced partial obstruction. Several small (2 mm) submucosal masses were found in the cecum nearby. On cut section each lesion was found to be firm, gray-tan and homogeneous involving the muscular wall of the bowel and adjacent mesentery.