CASE 210: LEFT ABDOMINAL MASS, Dr PHAN THANH HAI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Man  53 yo with acute pain  onset at left lower abdomen, no fever, pain  progressing and  cannot  lay down in decubitus position.

Ultrasound  abdomen first  showed  that  fluid collection around  liver and pelvis with one mass size of 3cm-4cm   at the painful area  (left lower abdomen)  like pseudokidney sign.

MSCT  without CE of abdomen detected  one mass with  intraluminal air and its wall was thickened more than 1cm which suggested inflammation like enteronecrosis.

This patient promptly was sent to BINH DAN HOSPITAL.and  abdomen x-ray for  check up  was done [see  photo].

Blood tests=   WBC rising 17K with  88% neutrophil.

Emergency operation performed as about peritonitis.due to perforation.

This mass is of  small intestine.which was looked like tumor or inflamation.

.

Microscopy reports that a cancer, But we have to wait for immunohistostainning to make sure that a malignant GIST or Carcinoid.

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