Enhanced abdominal CT scan showed diffuse small bowel dilatation with fluid collection. In the right lower quadrant, transition zone was noted showing 5cm segmental enhancing wall thickening, contour irregularity at the right side wall, and destruction of the normal bowel layering. There was no another lesions. The cause of obstruction is not adhesion and small bowel adenocarcinoma or inflammatory bowel disease should be considered as a differential diagnosis.
The patient underwent small bowel resection and anastomosis and the lesion was confirmed as adenocarcinoma. slot deposit pulsa 10 ribu
