Asymptomatic ileal adenocarcinoma in the setting of undiagnosed Crohn’s disease

Figure 1 CT scan of the abdomen showing thickened and spiculated ileal wall.

Figure 2 A: Stricture adjacent to the ileocecal valve; B: 3 cm polyp, sections of which revealed a white spiculated area extending into the underlying fat.

Figure 3 Crohn’s changes in the terminal ileum (HE, × 400).

Figure 4 Adenocarcinoma invading the muscularis propria (HE, × 400).