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.






 
 
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