CASE 150: PERIUMBILICAL MASS, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

MAN 53 YO ONE WEEK AGO PERI-UMBILICAL PAIN AND FEVER

HE WAS TREATED WITH ANTIBIOTIC, AND GOING WELL AFTER.

ULTRASOUND ABDOMEN DETECTED ONE MASS CYSTIC OF 7 CM,  OVOID, NO SEPTATION , LOCATED AT THE MIDDLE LINE FROM UMBILICUS TO PELVIS. PRESSING IT OVER HAD LITTLE PAIN, ONE SONOLOGIST SUSGESTED THAT PELVI-ABDOMINAL TUMOR, WITH  RAISING OF WBC.

PICTURE 01 US LONG SCAN, 02 and 03 CROSS-SECTION SCAN WITH CDI.

 

 

MSCT IS DONE WITH CE SHOWED THAT MASS IS SUSPECTED ABSCESS BUT DON’T KNOW ORIGIN.

PICTURE 04 CT AXIAL WITH CE, 05 FRONTAL, AND 06 SAGITTAL .

 

Blood test with WBC neutrophil raising suggested abscess, but its origin still unknown.
 

Operation laparo-endoscopy detected a big abscess from the tip of appendix, then removing abscess and drainage out.

A walled off abscess intraabdomen is quite often from appendicitis.