HISTOPATHOLOGY REPORT

Sections from the 3 small bowel strictures, and also from the ileocaecal valve stricture, show similar features with obvious granulomatous inflammation characterised by well-formed granulomas present throughout the full thickness of the bowel wall. There is associated chronic inflammation, and patchy mucosal ulceration is noted. The background small and large bowel are unremarkable.

COMMENT: The appearances are of granulomatous inflammation, causing strictures in the small bowel and at the ileocaecal valve and fit with the clinical impression of TB. 

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