Anaemia in Waldmann’s disease: A rare presentation of a rare disease

Figure 1 Multiple jejunal lymphangiectasia.

Figure 2 Pre contrast axial computed tomography scan showing (A) mild right-sided pleural effusion and (B) mild ascites.

Figure 3 Triphasic post contrast axial computed tomography showing. Multiple splenic hemangiomas in portal (A) and delayed (B) phases respectively showing filling in (arrows).

Figure 4 Triphasic post contrast axial computed tomography (portal phase) showing. A: Dilated small intestinal wall (arrows); B: Mesenteric hypodense bands indicating obstructed lymphatics (arrows), and dirty fat appearance due to mesenteric oedema (arrow heads).

Figure 5 Exploratory laparotomy, multiple cysts was seen related to the small intestinal wall and its mesentry and a discolored segment of the proximal jejunum.

Figure 6 Histopathological examination of the resected part of small intestine. A: The sub-mucosa shows large gaping vascular filled by RBCs (HE × 40); B: The vascular spaces are lined by flat endothelial cells (HE × 100); C: Black staining is due to labeling material (India Ink) (HE × 100); D: The sub-mucosal vascular are see encroaching upon the mucosal lining (HE × 100); E: Some vascular spaces lined by flat endothelial cells and filled by lymph fluid (HE × 100).