04/13/2304/13/23 Dept. of Surgery, PDUMC, Rajkot.Dept. of Surgery, PDUMC, Rajkot. 11

Rodio-opacity in the lower Rodio-opacity in the lower AbdomenAbdomen

Department of SurgeryDepartment of Surgery

P.D.U. Govt. Medical CollegeP.D.U. Govt. Medical College

Rajkot.Rajkot.

04/13/2304/13/23 Dept. of Surgery, PDUMC, Rajkot.Dept. of Surgery, PDUMC, Rajkot. 22

??????????????

History:40 years old female

Pain lt. Abdomen

Anorexia

Wt. loss

No H/O fever, bladder bowel dis.

04/13/2304/13/23 Dept. of Surgery, PDUMC, Rajkot.Dept. of Surgery, PDUMC, Rajkot. 33

??????????????

Clinical Examination:Poorly nourishedPoorly nourished

PalePale

V/D : NormalV/D : Normal

P/A : tenderness LIF & Umbilical regionP/A : tenderness LIF & Umbilical region

04/13/2304/13/23 Dept. of Surgery, PDUMC, Rajkot.Dept. of Surgery, PDUMC, Rajkot. 44

??????????????

Investigations:Investigations:

Hb:7, TC:6000, DC:68/30/1/1/0, ESR:40Hb:7, TC:6000, DC:68/30/1/1/0, ESR:40

Plain X-ray KUB & PelvisPlain X-ray KUB & Pelvis

04/13/2304/13/23 Dept. of Surgery, PDUMC, Rajkot.Dept. of Surgery, PDUMC, Rajkot. 55

04/13/2304/13/23 Dept. of Surgery, PDUMC, Rajkot.Dept. of Surgery, PDUMC, Rajkot. 66

04/13/2304/13/23 Dept. of Surgery, PDUMC, Rajkot.Dept. of Surgery, PDUMC, Rajkot. 77

??????????????

Differential Diagnosis:Bladder StoneBladder Stone

Stone in Bladder/Colonic DiverticulumStone in Bladder/Colonic Diverticulum

Enterolith : Colon/ Small BowelEnterolith : Colon/ Small Bowel

Calcified Mesenteric lymphnodeCalcified Mesenteric lymphnode

F.B. in rectumF.B. in rectum

04/13/2304/13/23 Dept. of Surgery, PDUMC, Rajkot.Dept. of Surgery, PDUMC, Rajkot. 88

????????????

USG : USG :

S/O 3.3X2cm cacified shadow in LIF S/O 3.3X2cm cacified shadow in LIF

(?) Enterolith(?) Enterolith

Small amount of free fluidSmall amount of free fluid

04/13/2304/13/23 Dept. of Surgery, PDUMC, Rajkot.Dept. of Surgery, PDUMC, Rajkot. 99

04/13/2304/13/23 Dept. of Surgery, PDUMC, Rajkot.Dept. of Surgery, PDUMC, Rajkot. 1010

04/13/2304/13/23 Dept. of Surgery, PDUMC, Rajkot.Dept. of Surgery, PDUMC, Rajkot. 1111

04/13/2304/13/23 Dept. of Surgery, PDUMC, Rajkot.Dept. of Surgery, PDUMC, Rajkot. 1212

04/13/2304/13/23 Dept. of Surgery, PDUMC, Rajkot.Dept. of Surgery, PDUMC, Rajkot. 1313

ENTEROLITHENTEROLITH

Treatment: Exp. Laparotomy Exp. Laparotomy

Multiple Tuberculous Ileal StricturesMultiple Tuberculous Ileal StricturesEnterolith between two stricturesEnterolith between two stricturesResection of strictured ileum Resection of strictured ileum End to end ileo-ileal anastomosis doneEnd to end ileo-ileal anastomosis donePost operative: uneventfulPost operative: uneventfulFu: wt. gain, asymptomaticFu: wt. gain, asymptomatic

04/13/2304/13/23 Dept. of Surgery, PDUMC, Rajkot.Dept. of Surgery, PDUMC, Rajkot. 1414

04/13/2304/13/23 Dept. of Surgery, PDUMC, Rajkot.Dept. of Surgery, PDUMC, Rajkot. 1515

04/13/2304/13/23 Dept. of Surgery, PDUMC, Rajkot.Dept. of Surgery, PDUMC, Rajkot. 1616

04/13/2304/13/23 Dept. of Surgery, PDUMC, Rajkot.Dept. of Surgery, PDUMC, Rajkot. 1717

Enterolith

04/13/2304/13/23 Dept. of Surgery, PDUMC, Rajkot.Dept. of Surgery, PDUMC, Rajkot. 1818

04/13/2304/13/23 Dept. of Surgery, PDUMC, Rajkot.Dept. of Surgery, PDUMC, Rajkot. 1919

04/13/2304/13/23 Dept. of Surgery, PDUMC, Rajkot.Dept. of Surgery, PDUMC, Rajkot. 2020

Thank YouThank You