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A patient with acute pancreatitis and unusual vermiform stools
  1. W L Hazen1,
  2. D P Hayes2,
  3. H J M Pullens1
  1. 1Department of Gastroenterology and Hepatology, Meander Medical Centre, Amersfoort, The Netherlands
  2. 2Department of Pathology, Meander Medical Centre, Amersfoort, The Netherlands
  1. Correspondence to Dr W L Hazen, Department of Gastroenterology and Hepatology, Meander Medical Centre, PO Box 1502, Amersfoort 3800 BM, The Netherlands; wouterhazen{at}hotmail.com

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Macroscopically, the excreted strand had a central lumen (figure 2). Histological examination showed a completely necrotic, full-thickness colonic cast. All layers of the bowel wall, including muscularis propria, were clearly seen (figure 3). Colonoscopy revealed a stricture at 12 cm within ischaemic-appearing, granular mucosa. …

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