A length of small intestine with its attached mesentery. The cut surface at each end of the intestine
shows an oval, yellowish nodule in the sub-mucosa; in each instance the nodule is approximately
1 cm. in length. In the mesentery, there is an enlarged lymph node some 3 cm. across, again,
showing a nodular, yellowish tumour.
This woman was admitted at the age of 46 for the management of sub-acute small bowel
obstruction. She had had colicky abdominal pain of more than 12 hours' duration; two weeks prior
to this she had been in hospital with a sub-acute obstruction which had settled on conservative
treatment. At operation these lesions were resected.