3. Case 1
Name عبد محمد
التواب
Age 25
Medical Hx. - ve
Surgical Hx. Laparoscopic total colectomy 1.5 year ago on FAP
Presentation Recurrent attacks of bleeding per rectum and anemia
On
Examination
pt is pale , third degree piles
4. labs
HB 4.5 ~ 7~8.7~8.3
TLC 6
PLT 200
PC 100
INR 1
Ur 26
Cr 0.8
Na 140
K 4.3
Ca 1.2
)
5. Colonoscopy: 26/11
introduction of scope
through ileoanal anastomosis
revealed no pathological
lesion apart from second
degree internal piles
upper endoscopy : free
INVESTIGTIONS:
6. Case 2
Name عبدالحكيم سيد
Age 39
Medical Hx. Negative
Surgical Hx. Negative
Presentation Repeated vomiting
On
Examination
7. Pathology:
inflammatory ulcer with fibrosis and
granulation tissue formation
With antral moderate gastritis with mild
activity and focal incomplete Intestinal
metaplasia
H.pylori detected
no evidense of glandular dysplasia or
malignansy
immunostaining and correlation with CT is
advised
8. CT abdomen:
GB : multiple stones
Reduced aortomesentric distance 5 mm
Reduced aortomesentric angle 18 mm
Scanty aortomesentric fat
9. Case 3
Name شهد
عبدهللا يحيى
Age 17
Medical Hx. -ve
Surgical Hx. -ve
Presentation Abdominal pain
operation
10. Abdominal US:
huge well definened multilocular pelviabdominal cyst
extending from pelvic to epigastric and both
hypochondrial regions with turbid fluid content and
multiple septations ~~ adenexal Vs mesentric cyst
??
CT Abdomen :
Well defined cyst 32*24*14cm involving pelviabdominal and
epigastric regions , compressing uterus and displacing related
bowel loops upward , thin wall , fine septations
It shows well defined soft tissue area at rt lumbar region within
the cyst with peripheral calcifications
Minimal free IP collection
Mostly of adenexal origin
