Man 32 yo,abdominal pain, no fever. Emergency ultrasound of abdomen ruled out acute appendicitis, but there are ascites, and many small round nodules of average of 2cm in diameter at great curvature of stomach, intra great epiploon, and at hilus of liver . All of them were very poor echo like cyst (SEE 4 IMAGES= H.1: black nodule in hilus liver, H.2: cross section of abdomen and nodule intra great omentum, H.3: echo poor nodule at great curvature of stomach, H4 : ascites at pelvis).
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THIS CASE UNDERWENT BIOPSY VIA LAPAROTOMY SHOWING MULTIPLE WHITE SPOTS OVER PERITONEUM, LIKED CARCINOMATOSIS.
Blood test are normal. Punction of ascites fluid for analyse. PCR of tuberculosis is negative.
THIS CASE UNDERWENT BIOPSY VIA LAPAROTOMY SHOWING MULTIPLE WHITE SPOTS OVER PERITONEUM, LIKED CARCINOMATOSIS.
REMOVING ONE BIG MASS.AT GREAT CURVATURE OF STOMACH. CUTTING SURFACE SHOWED FLUID LIKED CASEUM.
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SUGGESTION OF TUBERCULOSIS. WAIT FOR MICROSCOPY REPORT.
Microsopic report is tuberculosis lymphadenitis (photo).
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Discussions:
Why the result of analysis of ascites fluid is negative from TB PCR, ADA?
WHY TUBERCULOSIS LYMPHNODE are VERY BLACK in echogeneicity?
HOW to DIFFERENTIATE it WITH LYMPHOMA ?
REF
.
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SUGGESTION OF TUBERCULOSIS. WAIT FOR MICROSCOPY REPORT.
Microsopic report is tuberculosis lymphadenitis (photo).
Discussions:
Why the result of analysis of ascites fluid is negative from TB PCR, ADA?
WHY TUBERCULOSIS LYMPHNODE are VERY BLACK in echogeneicity?
HOW to DIFFERENTIATE it WITH LYMPHOMA ?
REF
.
