Woman 44yo with pain and periodic hyperperitaltism at RLAQ for 6 months.
ULTRASOUND DETECTED AT R LAQ ONE MASS (US 1) THIS MASS IS HYPOECHOIC MULTILOCULATED # 4 CM.
US2: AROUND THIS MASS NEAR CECUM SOME ANSES OF BOWEL DILATED.
US3: PW SHOWS THIS MASS IS LYMPH NODE WITH SANDWICH SIGN.
US4: ONE ILEUM PORTION DILATED THICKENING of THE WALL with MATERIALS INSIDE LOOK LIKE THE KIDNEY.
MSCT WITH CE
CT1: CROSSED SECTION OF THE THICKENING WALL OF ILIUM
CT2 : CROSSED SECTION THE MASS AT ANGLE ILIUM-COECUM LOOK LIKE MESENTERIC LYMPH NODES
CT3: FRONTAL VIEW IS TUMOR AT ILUM WITH BIG LYMPH NODES
GASTRO-COLONOSCOPY IS NORMAL
BLOOD TEST TUBERCULOSIS WITH QRFERONE TEST IS NEGATIVE, BETA2 MICROGLOBULIN IS NORMAL
CONCLUSION: THE TUMOR OF ILEUM WITH BIG LYMPH NODES AROUND LOOK LIKE MALT.
OP REPORT IS RESECTION of THIS MASS of ILEUM AND COLON ASCENDING, END TO END ANASTOMOSIS.