Woman 44yo with pain and periodic hyperperitaltism at RLAQ for 6 months.
US1: ULTRASOUND DETECTED AT RLAQ ONE MASS HYPOECHOIC, MULTILOCULATED # 4 CM.
US2: AROUND THIS MASS NEAR CECUM SOME ANSES OF BOWEL DILATED.
US3: PW SHOWS THIS MASS IS LYMPH NODE WITH SANDWICH SIGN.
US4: ONE ILEUM PORTION DILATED and THICKENING of THE WALL with MATERIALS INSIDE LOOK LIKE THE KIDNEY.
MSCT WITH CE :
CT1: CROSSED SECTION OF THE THICKENING WALL OF ILIUM
CT2 : CROSSED SECTION THE MASS AT ANGLE ILIUM-COECUM LOOK LIKE MESENTERIC LYMPH NODES
CT3: FRONTAL VIEW IS TUMOR AT ILUM WITH BIG LYMPH NODES
GASTRO-COLONOSCOPY IS NORMAL
BLOOD TEST TUBERCULOSIS WITH QRFERONE TEST IS NEGATIVE, BETA2 MICROGLOBULIN IS NORMAL
CONCLUSION: THE TUMOR OF ILEUM WITH BIG LYMPH NODES AROUND LOOK LIKE MALT.
OP REPORT IS RESECTION of THIS MASS of ILEUM AND COLON ASCENDING, END TO END ANASTOMOSIS.
MICROSCOPIC REPORT IS LYMPHOMA.
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