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CASE 394: COLON TUBERCULOSIS, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

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Man 43 yo with epigastric pain  crisis and  gastroendoscopy showed  gastritis.
Ultrasound  detected  one mass  like target  with  thickening of the  wall of colon (see  US 1=csoss-section  colon over  right kidney);   US  2  with linear  probe= colon wall is thickening; US 3, US 4 =  longitudinal scan).





MSCT of abdomen with CE revealed  thickening of  ascending colon wall  (CT1,  CT2).




Chest X-rays  before endoscopy  detected  infiltration of  left upper lung.





Colonoscopy reported the mass in right colon, nodular ( see foto) biopsy. 





Report of endoscopist is colon cancer.
Microscopic report  is colon tuberculosis.
Conclusion = this  case  represented colicky pain at epigastric region but  ultrasound and CT  suggested  colon cancer, same as colonoscopy, but  microscopic is tuberculosis.of colon and left lung.

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