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Wednesday, 26 December 2018

CASE 530: UMBILICOURACHAL SINUS ABSCESS, Dr PHAN THANH HAI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.


MAN 36YO, WITH HISTORY OF  SWOLLEN UMBILUS  AND DISCHARGE  AS A  PUS MASS FOR ONE MONTH.




ULTRASOUND SCANNING  SHOWS THE UMBILUS AREA  HAVING ONE MASS # 4 CM   INTRA ABDOMEN WALL AND AIR CONTENT ( US 1).


  
US 2 :CDI  SHOWS   TWINKLING  ARTIFACT  DOPPLER  CONNECTED TO URINARY BLADDER.


CT WITH CE : THIS MASS WITH ROUND BORDER  INTRA ABDOMEN WALL CONNECTED TO UMBILICUS (CT1, CT2  CROSSED-SECTION AND SAGITAL SECTION).



BLOOD TESTS = WBC RISES 12K,  CRP 12ng/mL,
RADIOLOGIST DIAGNOSTIC IS AN ABSCESS OF URACHAL SINUS.
OPERATION REMOVED THE ABSCESS.


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