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A rare cause of an ileocaecal mass and lymphadenopathy
  1. Emma L Culver1,2,
  2. Eleanor Barnes1,2,
  3. David Delaney3,
  4. Antony J Ellis4,
  5. Bruce George5,
  6. Roger W Chapman1,2
  1. 1Translational Department of Gastroenterology, John Radcliffe Hospital, Oxford, UK
  2. 2Nuffield Department of Medicine, Oxford University, Oxford, UK
  3. 3Histopathology Department, John Radcliffe Hospital, Oxford, UK
  4. 4Gastroenterology Department, Horton Hospital, Banbury, UK
  5. 5Department of Colorectal Surgery, Churchill Hospital, Oxford, UK
  1. Correspondence to Dr Emma L Culver, Gastroenterology Specialist Registrar and Wellcome Trust Research Training Fellow, John Radcliffe Hospital, Headington, Oxford OX3 9DU, UK; emma.culver{at}

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Clinical presentation

A 56-year-old gentleman presented with a 6-week history of fatigue, drenching night sweats and 6 kg of weight loss. Clinical examination revealed a palpable right iliac fossa mass. He had a history of hypertension. Full blood count, differential white count and blood film were unremarkable. Inflammatory markers were elevated: …

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  • Funding EL Culver receives research funding from a Wellcome Trust Research Training Fellowship (095160/Z/10/Z).

  • Competing interests None.

  • Patient consent Obtained.

  • Ethics approval Ethical approval from Oxfordshire RECA 10/H0604/51.

  • Provenance and peer review Not commissioned; internally peer reviewed.