Man 47yo, history of 3 months with peristaltism crisii and severe pain at RLAQ more and more.
Ultrasound first showed that small bowel dilating in hypermotion and ascites.
MSCT detected enterolysis, stenosis at ilium pre-cecum and suspected tuberculosis.
Medical antituberculosis treatment was in setting up, but onset total occlusion was acute in emergency.
Operation in emergency detected one portion of ilium in hard stenosis.
Resection that portion and microscopic result is adenocarcinoma infiltrating the bowel.