On examination Huge liver Mass...
AFP & CEA LEVELS ARE NORMAL
LFT, CBC,RFT : ALL NORMAL...
|last MRI before episode of Cholangitis...|
showing healing laceration and
compensatory hypertrophy of left lobe of Liver
|ULCERATED GROWTH IN JEJUNUM|
|PERFORATION WITH MASS IN PROXYMAL JEJUNUM|
40 yrs lady with pain in abdomen for 2 days with some distension..
Known case of DM FOR 4 YEARS/ MRM done 4 yrs back.(NO LOCO REGIONAL RECURRENCE)
CECT S/O gross peritonitis with ? ileal perforation..
Surprisingly on Exploration it was a small bowel mass (1.5 feet from DJ) which was perforated... REST WHOLE OF ABDOMEN NO MASS, NO METS, LIVER NORMAL, CXR NORMAL
did R/A With 10 cm margins on each side....BUT IF ITS adeno Ca than its stage IV WITH PERFORATED MALIGNANCY
waiting for bx report
Its really rare to find something like this