Woman 44
yo pain at RLQ and fever for 2
weeks,
being treated ambulatory with
antibiotics. In clinical examination of abdomen wall at RLQ is
edema, induration and pain in compression.
Ultrasound shows the
abdomen wall thickening with edema and fluid in muscle
(us 1);
no air or blood supply of this
site (us 2), us 3: the great omentum
is thickening and adherent to
abdominal wall;
us 4= small intestine walled-off.
MSCT with CE= the
wall of abdomen is edema and great omentum is covered RLQ
site (CT1); CT2: edema
of abdomen wall;
CT3: sagittal
view.
Blood tests: WBC rised to
20k; high CRP = 30ng/mL.
Clinical diagnosis is
suspected plastron appendiculaire .
Normal coecum is looking in colono-endoscopy.
Operation for removing a very
big hard mass of great omentum, (see macro1, 2)
and
report of surgeon is looked
like tumor.
MICROSCOPIC REPORT IS INFLAMATION, NO TUMOR CELL.
CONCLUSION: INFLAMATION of PSEUDOTUMOR from GREAT OMENTUM.
Reference:
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