Table 1.
Clinical manifestation, ultrasound findings, and clinical diagnosis.
| Number | Age/sex | Symptoms/drug history | Radiological finding | Clinical diagnosis | Laboratory findings |
|---|---|---|---|---|---|
| 1 | 57/M | Recurrent constipation Vomiting and distention on and off 1 year Antitubercular drugs for 9 months [CAT 1] |
CECT: thickening in ileocaecal area with mesenteric lymphadenopathy with dilated loops | Recurrent intestinal obstruction | ESR: 108 AEC: 550/Cumm Chest X ray: Signs of fibrosis healed tuberculosis Stool examination: NAD Montoux test: negative |
|
| |||||
| 2 | 32/M | Acute abdomen Guarding Rigidity Tachycardia Hypotension No h/o of chronic medication |
X-ray erect chest/abdomen showed air under diaphragm | Acute perforative peritonitis | ESR: 100 AEC: 320 cells/cum Chest X-ray: NAD Stool examination: NAD Montoux test: negative |
|
| |||||
| 3 | 24/M | Obstipation, vomiting, and abdominal distention since 1 day No h/o chronic medication |
X-ray abdomen: multiple air fluid level CECT abdomen: target sign suggestive of intussusception with obstruction |
Acute intestinal obstruction due to ileo ileal intussusception | ESR: 25 AEC: 600 cells/cumm Chest X-ray: NAD Stool examination: NAD Montoux test: negative |
|
| |||||
| 4 | 62/M | Constipation, abdominal distention, and vomiting on and off since past 3 months h/o intake of amlodipine, aspirin, and atorvastatin for 20 years Antitubercular treatment 35 years back |
USG: Multiple dilated loops with sluggish peristalsis CECT: thickening in ileo caecal area with proximal dilated loops |
Acute intestinal obstruction | ESR: 90 AEC: 70 cells/cumm Chest X-ray: NAD Stool examination: NAD Montoux test: negative |
AEC: absolute eosinophil count: normal range: 40–400 cells/cumm.
NAD: no abnormality detected.
ESR: 0–20 mm/hr in male [normal range].