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| ULCERATED GROWTH IN JEJUNUM |
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| 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
Dr. Keyur Bhatt - Best
Gastro Surgeon Dr. Keyur Bhatt- Best GI
Surgeon Dr. Keyur Bhatt - Best
Gastro Surgeon Dr. Keyur Bhatt- Best GI
Surgeon - Dr Keyur Bhatt - Best Gastro Surgeon Dr. Keyur Bhatt- Best GI
Surgeon - Dr Keyur Bhatt - Best Gastro Surgeon Dr Keyur
Bhatt- Best GI Surgeon
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