Tuesday, March 29, 2011

CASE: Sub Acute intestinal obstruction --- Ileal malignancy^-www.drkeyurbhatt.in*

73 yrs female with multiple episodes of intestinal sub acute obstruction
with nausea, constipation, distension of abdomen
ESR, Montoux, TB IgG/M/A : NEGATIVE

COLONOSCOPY: Normal colon except a small polyp in ascending colon, terminal ileum up-to 5 cm normal.

CECT: Terminal ileal stricture with proximal dilated bowel loops..
 


SURGERY : Laparotomy and EXTENDED Rt hemicolectomy and terminal ileal resection for ileal mass.




Histology : Ileal carcinoid spreaded upto serosa and 2/11 nodes positive.

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