CASE 569: RLAQ MASS, Dr PHAN THANH HAI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

Woman 44yo with pain and periodic hyperperitaltism at RLAQ for 6 months.

US1: ULTRASOUND  DETECTED AT RLAQ ONE MASS  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 and 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.

MICROSCOPIC REPORT  IS LYMPHOMA.