Man 56 yo, acute colic pain at right
upper quadrant of abdomen, crisis and vomitting 3 days ago.
Ultrasound
scanning of liver:
US1: Ultrasound detects big
mass near gallblader liked a bowel loop dilated.
US 2: Right
colon dilated with multiple layers
which is oignon sign.
US3.
Coecum moved
up near liver connected
with one cystic mass.
US 4 Cystic mass with multiple
rings [oignon sign], typical
of mucineous cyst of appendix.
CT scan abdomen detected right colon
moving up with coecum intussusception (CT1 frontal
section;, CT2,
sagital section; CT3, frontal
section).
Emergency
operation with diagnosis colo-colic intussusception by appendicular mucocele.
See
specimen of operation by right colectomy.
Microscopic report is appendicular mucocele.
Reference:
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