Tuesday, 10 February 2015

CASE 297: CHRONIC BOWEL OCCLUSION, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Man 47yo,   history of  3 months  with  peristaltism crisii and severe pain at  RLAQ more and more.
Ultrasound  first showed that  small bowel  dilating in  hypermotion and ascites.






MSCT  detected  enterolysis, stenosis at ilium  pre-cecum and suspected tuberculosis. 





Medical  antituberculosis treatment was in setting up, but  onset  total  occlusion was  acute  in emergency.
Operation in emergency detected  one portion of  ilium in hard stenosis. 



Resection that portion and  microscopic result  is adenocarcinoma infiltrating the bowel.

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