MAN 30 YO ABDOMINAL PAIN SOME MONTHS AGO, ABDOMEN WAS DISTENTION AND CANNOT EATING, NO FEVER NO TRAUMA OR TUBERCULOSIS IN HISTORY.
ABDOMEN ULTRASOUND DETECTED ASCITES WITH BOWEL ADHERENCE IN MASS, LIKE COCOON SIGN ( 2 VIDEO).
MSCT of ABDOMEN WITH CE REVEALED NORMAL LIVER WITHOUT TUMOR ( SEE CT 3 PICTURES).
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PUNCTURE of ASCITES SHOWED OLD BLOODY FLUID. ANALYSIS RESULTED NORMAL AMYLASE, ADA, AND CA 125.
WHAT IS YOUR SUGGESTION of DIAGNOSIS..AND HOW TO MAKE SURE DIAGNOSIS FOR THE CASE.
ABDOMEN ULTRASOUND DETECTED ASCITES WITH BOWEL ADHERENCE IN MASS, LIKE COCOON SIGN ( 2 VIDEO).
MSCT of ABDOMEN WITH CE REVEALED NORMAL LIVER WITHOUT TUMOR ( SEE CT 3 PICTURES).
PUNCTURE of ASCITES SHOWED OLD BLOODY FLUID. ANALYSIS RESULTED NORMAL AMYLASE, ADA, AND CA 125.
WHAT IS YOUR SUGGESTION of DIAGNOSIS..AND HOW TO MAKE SURE DIAGNOSIS FOR THE CASE.