LANGERHANS CELL HISTIOCYTOSIS OF SMALL INTESTINE
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 53
Abstract
PRESENTATION OF CASE A 55-years old female patient with no known comorbidities presented with chief complaints of pain abdomen for 3- months associated with vomiting, abdominal lump and backache for past one month. Pain was insidious in onset, moderate intensity, originated in periumbilical and epigastric region and was relieved to some extent by oral analgesics. Abdominal lump developed in periumbilical region gradually increased in size upto the size of a tennis ball & was associated with abdominal distention and non-passage of stools & flatus. She was a chronic beedi smoker for 30-years. Contrast enhanced computerized tomography revealed an ill-defined growth in abdomen causing intestinal obstruction. She eventually got operated for sub-acute intestinal obstruction. She was a chronic beedi smoker for 30-years. On general physical examination patient was cachexic, ECOG status-3 and was taking liquid diet only. Local examination revealed tense and distended abdomen with unhealthy laparotomy scar gaping of 1.5×1.0 cm with granulation tissue in situ in periumbilical region. All haematological and biochemical investigations were within normal limits.
Authors and Affiliations
Parul Gupta, Anil Kumar Dhull, Vivek Kaushal
Keywords
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- EP ID EP610110
- DOI 10.18410/jebmh/2018/750
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