Man 53 yo acute pain onset at left lower abdomen, no fever, pain progressing and cannot lay down in decubitus position.
Ultrasound abdomen first showed that fluid collection around liver and pelvis with one mass size of 3cm-4cm at the painful area (left lower abdomen) like pseudokidney sign.
MSCT without CE of abdomendetected one mass with intraluminal air and its wall was thickened more than 1cm which suggested inflammation like enteronecrosis.
This patient promptly was sent to BINH DAN HOSPITAL.and abdomen x-ray for check up was done [see photo].
Blood tests= WBC rising 17K with 88% neutrophil.
Emergency operation as diagnosis about peritonitis.due to perforation.
This mass is of small intestine.which was looked like tumor or inflamation.
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Wait for microscopy report.
Microscopy reports that a cancer But we have to wait for immunohistostainning to make sure that a malignant GIST or Carcinoid.REFERENCE
