Snapshot Quiz

Pandanaboyana 7. 8. Shaharuddin H, Wang V, Santos RS, Gross A, Wang Y, Jawanda H et al. Deleterious effects of SARS-CoV-2 infection on human pancreatic cells. 2021; https://www.medrxiv.org/content/10. 1101/2021.02.01.21250846v1 Akarsu C, Karabulut M, Aydin H, Sahbaz NA, Dural AC, Yegul D et al. Association between acute pancreatitis and COVID-19: could pancreatitis be the missing piece of the puzzle about increased mortality rates? J Invest Surg 2020;1–7 | 881 9. Ahmed A, Fisher JC, Pochapin MB, Freedman SD, Kothari DJ, Shah PC et al. Hyperlipasemia in absence of acute pancreatitis is associated with elevated D-dimer and adverse outcomes in COVID 19 disease. Pancreatology 2021;S1424-3903(21)00071-5 10. Hoffmann M, Kleine-Weber H, Schroeder S, Krüger N, Herrler T, Erichsen S et al. SARSCoV- 2 cell entry depends on ACE2 and TMPRSS2 and is blocked by a clinically proven protease inhibitor. Cell 2020;181:271.e8–280.e8 BJS, 2021, 108, 881 Snapshot Quiz DOI: 10.1093/bjs/znab104 Advance Access Publication Date: 23 June 2021 Snapshot Quiz Question: An 8 year old boy presented with colicky abdominal pain and chronic anemia. Faecal occult blood analysis was positive, upper and lower GI endoscopy were unremarkable. 99m TC labeled RBC scan showed an abnormal accumulation of tracer in the distal small bowel on the right side of abdomen. Diagnostic laparoscopy followed by open resection was done. What is the diagnosis? R. Ahmad, R. Chanchlani, M. K. Jangid and S. Gurwani Department of Pediatric Surgery, All India Institute of Medical Sciences, Bhopal 462020, India (e-mail: reyaz.pediasurg@aiimsbhopal.edu.in) Disclosure. The authors declare no conflict of interest. Snapshots in Surgery: to view submission guidelines, submit your snapshot and view the archive, please visit www.bjs.co.uk Answer: The patient had a vascular malformation involving the distal ileum and mesentery. This was treated by small bowel resection. The pathology report described features of a benign angiomatous lesion consistent with a cavernous hemangioma. Received: February 15, 2021. Accepted: February 28, 2021 C The Author(s) 2021. Published by Oxford University Press on behalf of BJS Society Ltd. All rights reserved. V For permissions, please email: journals.permissions@oup.com