RIGHT ILIAC FOSSA MASS DDS INVESTIGATIONS BY ZIYANA
![RIGHT ILIAC FOSSA MASS -DDS & INVESTIGATIONS BY ZIYANA LIYAKATH 2002 BATCH 10 1 RIGHT ILIAC FOSSA MASS -DDS & INVESTIGATIONS BY ZIYANA LIYAKATH 2002 BATCH 10 1](https://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-1.jpg)
RIGHT ILIAC FOSSA MASS -DDS & INVESTIGATIONS BY ZIYANA LIYAKATH 2002 BATCH 10 1
![ILIAC FOSSA REGIONANATOMYY 10 2 ILIAC FOSSA REGIONANATOMYY 10 2](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-2.jpg)
ILIAC FOSSA REGIONANATOMYY 10 2
![TOPOGRAPHY OF RIF 10 3 TOPOGRAPHY OF RIF 10 3](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-3.jpg)
TOPOGRAPHY OF RIF 10 3
![Swellings in RIF PARIETAL n rare except iliac abscess/appendicular abscess burrow through anterior abdominal Swellings in RIF PARIETAL n rare except iliac abscess/appendicular abscess burrow through anterior abdominal](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-4.jpg)
Swellings in RIF PARIETAL n rare except iliac abscess/appendicular abscess burrow through anterior abdominal wall & may become parietal n INTRA ABDOMINAL n Two types n Structures normally present in the site n Structures abnormally invade region n 10 4
![NORMALLY PRESENT APPENDIX n CAECUM n TERMINAL PART OF ILEUM n LYMPH NODES n NORMALLY PRESENT APPENDIX n CAECUM n TERMINAL PART OF ILEUM n LYMPH NODES n](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-5.jpg)
NORMALLY PRESENT APPENDIX n CAECUM n TERMINAL PART OF ILEUM n LYMPH NODES n ILIAC ARTERIES n RETROPERITONEAL CONNECTIVE TISSUE n 10 5
![ILIOPSOAS SHEATH n ILIUM n 10 6 ILIOPSOAS SHEATH n ILIUM n 10 6](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-6.jpg)
ILIOPSOAS SHEATH n ILIUM n 10 6
![ABNORMALLY INVADE RENAL SWELLING n GALL BLADDER SWELLING n UTERINE SWELLING n URINARY VESICAL ABNORMALLY INVADE RENAL SWELLING n GALL BLADDER SWELLING n UTERINE SWELLING n URINARY VESICAL](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-7.jpg)
ABNORMALLY INVADE RENAL SWELLING n GALL BLADDER SWELLING n UTERINE SWELLING n URINARY VESICAL n UNASCENDED TESTIS n PELVIC ABSCESS n 10 7
![APPENDIX 10 8 APPENDIX 10 8](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-8.jpg)
APPENDIX 10 8
![ANATOMY Average length: 7. 5 -10 c. m n Position>retrocaecal(44%), pelvic(21%), subca ecal(1. 5%), ANATOMY Average length: 7. 5 -10 c. m n Position>retrocaecal(44%), pelvic(21%), subca ecal(1. 5%),](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-9.jpg)
ANATOMY Average length: 7. 5 -10 c. m n Position>retrocaecal(44%), pelvic(21%), subca ecal(1. 5%), postileal(. 5%), paracaecal( 2%), preileal(1%) n Histology->mucosa, sub mucosa, muscularis propria, serosa n Mesentry->meso appendix n Blood supply->appendicular artery, acessory appendicular n 10 9
![Position of appendix 10 10 Position of appendix 10 10](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-10.jpg)
Position of appendix 10 10
![APPENDICULAR MASS n n n n n 10 Third day or earlier after attack APPENDICULAR MASS n n n n n 10 Third day or earlier after attack](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-11.jpg)
APPENDICULAR MASS n n n n n 10 Third day or earlier after attack of appendicitis At the position of appendix O/E->irregular firm tender & fixed mass Rigidity of abdominal musculature Tympanitic on percussion CONSTITUENTS Inflamed appendix Greater omentum Oedematous caecal wall. coils of small intestine 11
![APPENDICULAR ABSCESS n n 10 Failure of resolution of appendix mass Continued spiking pyrexia APPENDICULAR ABSCESS n n 10 Failure of resolution of appendix mass Continued spiking pyrexia](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-12.jpg)
APPENDICULAR ABSCESS n n 10 Failure of resolution of appendix mass Continued spiking pyrexia 12
![RARE MUCOCELE n When proximal end of lumen slowly becomes completely occluded by fibrotic RARE MUCOCELE n When proximal end of lumen slowly becomes completely occluded by fibrotic](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-13.jpg)
RARE MUCOCELE n When proximal end of lumen slowly becomes completely occluded by fibrotic stricture & retained sterile secretions , appendix enlarged greatly & sometimes contains several milli litres of mucus n When infection supervenes empyema develops n 10 13
![Mucocele appendix 10 14 Mucocele appendix 10 14](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-14.jpg)
Mucocele appendix 10 14
![NEOPLASMS CARCINOID TUMOUR[ARGENTAFFINOMA] n Arise from argentaffin tissue[kulchitsky cells of crypts of lieberkuhn], most NEOPLASMS CARCINOID TUMOUR[ARGENTAFFINOMA] n Arise from argentaffin tissue[kulchitsky cells of crypts of lieberkuhn], most](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-15.jpg)
NEOPLASMS CARCINOID TUMOUR[ARGENTAFFINOMA] n Arise from argentaffin tissue[kulchitsky cells of crypts of lieberkuhn], most commonly in vermiform appendix n 10 times more common n Frequently distal 3 rd n Feels hard n 10 15
![Carcinoid tumour 10 16 Carcinoid tumour 10 16](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-16.jpg)
Carcinoid tumour 10 16
![CARCINOMA CAECUM n n Patient above 40 Hard fixed lump May not be any CARCINOMA CAECUM n n Patient above 40 Hard fixed lump May not be any](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-17.jpg)
CARCINOMA CAECUM n n Patient above 40 Hard fixed lump May not be any change in bowl habit if present alternate constipation & diarrhoea Anemia, anorexia, weig ht loss 10 17
![AMOEBIC CAECAL MASS n n 10 Entamoeba Histolytica Tenderness on deep palpation over caecum AMOEBIC CAECAL MASS n n 10 Entamoeba Histolytica Tenderness on deep palpation over caecum](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-18.jpg)
AMOEBIC CAECAL MASS n n 10 Entamoeba Histolytica Tenderness on deep palpation over caecum & sigmoid 18
![ACTINOMYCOSIS n n n 10 Hard & fixed mass Multiple sinuses seen discharging sulphur ACTINOMYCOSIS n n n 10 Hard & fixed mass Multiple sinuses seen discharging sulphur](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-19.jpg)
ACTINOMYCOSIS n n n 10 Hard & fixed mass Multiple sinuses seen discharging sulphur granules Discoloration of affected skin 19
![TERMINAL ILEUM n n n 10 IMPACTION OF ROUND WORMS Lower part of ileum TERMINAL ILEUM n n n 10 IMPACTION OF ROUND WORMS Lower part of ileum](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-20.jpg)
TERMINAL ILEUM n n n 10 IMPACTION OF ROUND WORMS Lower part of ileum History of passing worm with stools/vomitus 20
![CROHN’S DISEASE CLINICAL FEATURES n INFLAMATORY STAGE n Tender mass n Fever n Anemia CROHN’S DISEASE CLINICAL FEATURES n INFLAMATORY STAGE n Tender mass n Fever n Anemia](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-21.jpg)
CROHN’S DISEASE CLINICAL FEATURES n INFLAMATORY STAGE n Tender mass n Fever n Anemia n Diarrhoea n COLITIS STAGE n 10 21
![Diarrhoea, fever, anemia, loss of weight, occult blood & mucus present in stool n Diarrhoea, fever, anemia, loss of weight, occult blood & mucus present in stool n](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-22.jpg)
Diarrhoea, fever, anemia, loss of weight, occult blood & mucus present in stool n Steatorrhoea n Fissure in ano n Perianal abcess n Anal fistula n STENOTIC STAGE n Small intestinal obstruction n 10 22
![FISTULA n External/internal n 10 23 FISTULA n External/internal n 10 23](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-23.jpg)
FISTULA n External/internal n 10 23
![CROHN’S DISEASE 10 24 CROHN’S DISEASE 10 24](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-24.jpg)
CROHN’S DISEASE 10 24
![ILEOCAECAL REGION HYPERPLASTIC ILEOCAECAL TB n Injection of mycobacterium TB. Infection starts in lymphoid ILEOCAECAL REGION HYPERPLASTIC ILEOCAECAL TB n Injection of mycobacterium TB. Infection starts in lymphoid](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-25.jpg)
ILEOCAECAL REGION HYPERPLASTIC ILEOCAECAL TB n Injection of mycobacterium TB. Infection starts in lymphoid follicles &then spreads to submucous & subserous planes n Intestinal wall thickened, lumen narrowed n Matted lymphnodes+terminal part of ileum & caecum involvement produced lump n 10 25
![Gross specimen of ileum showing multiple hypertrophied tubercular pseudopolyps and cut part of appendix Gross specimen of ileum showing multiple hypertrophied tubercular pseudopolyps and cut part of appendix](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-26.jpg)
Gross specimen of ileum showing multiple hypertrophied tubercular pseudopolyps and cut part of appendix pecimen of ileum showing multiple hypertrophied tubercular pseudopolyps and cut part of ap 10 26
![n n n 10 COMPLAINTS 1. Recurrent attacks of abdominal pain with diarrhoea 2. n n n 10 COMPLAINTS 1. Recurrent attacks of abdominal pain with diarrhoea 2.](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-27.jpg)
n n n 10 COMPLAINTS 1. Recurrent attacks of abdominal pain with diarrhoea 2. Blind loop syndrome 3. lump 4. general 27
![GIBBUS OF SPINE 10 28 GIBBUS OF SPINE 10 28](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-28.jpg)
GIBBUS OF SPINE 10 28
![LYMPH NODES n n n 10 Enlargment of iliac group of lymphnodes A. FILARIAL LYMPH NODES n n n 10 Enlargment of iliac group of lymphnodes A. FILARIAL](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-29.jpg)
LYMPH NODES n n n 10 Enlargment of iliac group of lymphnodes A. FILARIAL Periodic attacks of fever with simultaneous tenderness & swelling of nodes 29
![n n n 10 B. TUBERCULOUS LYMPH NODE GENERAL FEATURES Matted lymph nodes 30 n n n 10 B. TUBERCULOUS LYMPH NODE GENERAL FEATURES Matted lymph nodes 30](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-30.jpg)
n n n 10 B. TUBERCULOUS LYMPH NODE GENERAL FEATURES Matted lymph nodes 30
![n n n 10 C. LYMPHOSARCOMA Rapid enlargment of nodes Young subject D. SECONDARY n n n 10 C. LYMPHOSARCOMA Rapid enlargment of nodes Young subject D. SECONDARY](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-31.jpg)
n n n 10 C. LYMPHOSARCOMA Rapid enlargment of nodes Young subject D. SECONDARY CARCINOMA Other evidence of primary ca Usually old 31
![ANEURYSM OF ILIAC ARTERIES n 10 RARE 32 ANEURYSM OF ILIAC ARTERIES n 10 RARE 32](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-32.jpg)
ANEURYSM OF ILIAC ARTERIES n 10 RARE 32
![ILIOPSOAS SHEATH ILIAC ABSCESS n Infection of haematoma in iliacus muscle n Pain, tenderness ILIOPSOAS SHEATH ILIAC ABSCESS n Infection of haematoma in iliacus muscle n Pain, tenderness](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-33.jpg)
ILIOPSOAS SHEATH ILIAC ABSCESS n Infection of haematoma in iliacus muscle n Pain, tenderness restricted to region n Clear space btw abscess&ilium n 10 33
![TENDER POINT OF ILIACUS 10 34 TENDER POINT OF ILIACUS 10 34](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-34.jpg)
TENDER POINT OF ILIACUS 10 34
![PSOAS ABSCESS n n 10 Down the thoracolumbar vertebra to pelvis&crosses inguinal ligament to PSOAS ABSCESS n n 10 Down the thoracolumbar vertebra to pelvis&crosses inguinal ligament to](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-35.jpg)
PSOAS ABSCESS n n 10 Down the thoracolumbar vertebra to pelvis&crosses inguinal ligament to thigh Cross fluctuation present 35
![ABSCESS IN THE THIGH 10 36 ABSCESS IN THE THIGH 10 36](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-36.jpg)
ABSCESS IN THE THIGH 10 36
![ILIUM n 10 Bony swelling 37 ILIUM n 10 Bony swelling 37](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-37.jpg)
ILIUM n 10 Bony swelling 37
![ABNORMALLY INVADING n n n n 10 1. KIDNEY A. PELVIC KIDNEY The first ABNORMALLY INVADING n n n n 10 1. KIDNEY A. PELVIC KIDNEY The first](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-38.jpg)
ABNORMALLY INVADING n n n n 10 1. KIDNEY A. PELVIC KIDNEY The first rudiment appear in pelvis With development ascend to final position Due to unknown reasons kidney fail; to ascend & remains permanently in pelvis/right iliac fossa B. DROPPED/MOVABLE KIDNEY Extremely rare 38
![GALL BLADDER SWELLING n 10 Hugely distended gall bladder with enlarged liver descend as GALL BLADDER SWELLING n 10 Hugely distended gall bladder with enlarged liver descend as](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-39.jpg)
GALL BLADDER SWELLING n 10 Hugely distended gall bladder with enlarged liver descend as low as right iliac fossa 39
![UTERINE & IT’S APPENDAGE 10 40 UTERINE & IT’S APPENDAGE 10 40](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-40.jpg)
UTERINE & IT’S APPENDAGE 10 40
![n n n n 10 h/o vaginal discharge Menstrual irregularities p/v can confirm clinically n n n n 10 h/o vaginal discharge Menstrual irregularities p/v can confirm clinically](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-41.jpg)
n n n n 10 h/o vaginal discharge Menstrual irregularities p/v can confirm clinically A. tubo-ovarian mass B. pyosalpinx C, . cyst & abscess of broad ligament D. fibroid of uterus E. ovarian cyst 41
![UNDESCENDED TESTIS n n 10 Develops in lumbar region As foetus grows, testis descends UNDESCENDED TESTIS n n 10 Develops in lumbar region As foetus grows, testis descends](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-42.jpg)
UNDESCENDED TESTIS n n 10 Develops in lumbar region As foetus grows, testis descends through inguinal canal into scrotum Fails to descend Commonestsuperficial ing pouch 42
![PELVIC ABSCESS n n n 10 Most common presentation-spiking pyrexia Pelvic pressure/discomfort associated with PELVIC ABSCESS n n n 10 Most common presentation-spiking pyrexia Pelvic pressure/discomfort associated with](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-43.jpg)
PELVIC ABSCESS n n n 10 Most common presentation-spiking pyrexia Pelvic pressure/discomfort associated with loose stool, tenesmus P/R->Boggy tender mass in pelvis anterior to rectum 43
![INVESTIGATION 10 44 INVESTIGATION 10 44](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-44.jpg)
INVESTIGATION 10 44
![n n n 10 1. ROUTINE BLOOD A. ANEMIAmalignancy, tuberculosi s, crohn’s disease B. n n n 10 1. ROUTINE BLOOD A. ANEMIAmalignancy, tuberculosi s, crohn’s disease B.](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-45.jpg)
n n n 10 1. ROUTINE BLOOD A. ANEMIAmalignancy, tuberculosi s, crohn’s disease B. ESRmalignancy, tuberculosi s, crohn’s disease 45
![n n n 10 C. POLYMORPHONU CLEAR LEUCOCYTOSIS D. EOSINOPHILIA E. MICROFILARIAE 46 n n n 10 C. POLYMORPHONU CLEAR LEUCOCYTOSIS D. EOSINOPHILIA E. MICROFILARIAE 46](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-46.jpg)
n n n 10 C. POLYMORPHONU CLEAR LEUCOCYTOSIS D. EOSINOPHILIA E. MICROFILARIAE 46
![MICROFILARIAE 10 47 MICROFILARIAE 10 47](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-47.jpg)
MICROFILARIAE 10 47
![EOSINOPPHILIA 10 48 EOSINOPPHILIA 10 48](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-48.jpg)
EOSINOPPHILIA 10 48
![n n n 10 2. URINE UTI RBCs 3. STOOL Occult blood microscopy 49 n n n 10 2. URINE UTI RBCs 3. STOOL Occult blood microscopy 49](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-49.jpg)
n n n 10 2. URINE UTI RBCs 3. STOOL Occult blood microscopy 49
![4. TUBERCULOUS ETIOLOGY n Psoas abscess, ileocaecal T. B, lymphnode n AFB STAIN n 4. TUBERCULOUS ETIOLOGY n Psoas abscess, ileocaecal T. B, lymphnode n AFB STAIN n](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-50.jpg)
4. TUBERCULOUS ETIOLOGY n Psoas abscess, ileocaecal T. B, lymphnode n AFB STAIN n C & S n LUMBAR X-RAY, DORSAL SPINE X-RAY n 10 50
![AFB SMEAR 10 51 AFB SMEAR 10 51](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-51.jpg)
AFB SMEAR 10 51
![CHEST&DORSAL SPINE 10 52 CHEST&DORSAL SPINE 10 52](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-52.jpg)
CHEST&DORSAL SPINE 10 52
![n 10 5. ULTRASOUND- 53 n 10 5. ULTRASOUND- 53](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-53.jpg)
n 10 5. ULTRASOUND- 53
![TRANSVAGINAL 10 54 TRANSVAGINAL 10 54](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-54.jpg)
TRANSVAGINAL 10 54
![n n n 10 6. BARIUM ENEMA A. obstructive appendicitis-faecolith as filling defect B. n n n 10 6. BARIUM ENEMA A. obstructive appendicitis-faecolith as filling defect B.](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-55.jpg)
n n n 10 6. BARIUM ENEMA A. obstructive appendicitis-faecolith as filling defect B. Ca caecum-filling defect C. crohn’s disease-string of kantor, caecum in normal position not elevated D. ileocaecal TB-long narrow constricted terminal ileum & ascending colon with caecum higher up 55
![CROHN’S DISEASE 10 56 CROHN’S DISEASE 10 56](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-56.jpg)
CROHN’S DISEASE 10 56
![APPENDICULOLITH 10 57 APPENDICULOLITH 10 57](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-57.jpg)
APPENDICULOLITH 10 57
![ILEOCAECAL TUBERCULOSIS 10 58 ILEOCAECAL TUBERCULOSIS 10 58](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-58.jpg)
ILEOCAECAL TUBERCULOSIS 10 58
![MUCOUS SECRETING ADENOCARCINOMA CAECUM 10 59 MUCOUS SECRETING ADENOCARCINOMA CAECUM 10 59](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-59.jpg)
MUCOUS SECRETING ADENOCARCINOMA CAECUM 10 59
![ILIOPSOAS ABSCESS 10 60 ILIOPSOAS ABSCESS 10 60](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-60.jpg)
ILIOPSOAS ABSCESS 10 60
![7. CTSCAN-if neoplasm suspected n 8. COLONOSCOPY->diagnostic & therapeutic n 9. IVP->to rule out 7. CTSCAN-if neoplasm suspected n 8. COLONOSCOPY->diagnostic & therapeutic n 9. IVP->to rule out](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-61.jpg)
7. CTSCAN-if neoplasm suspected n 8. COLONOSCOPY->diagnostic & therapeutic n 9. IVP->to rule out kidney problem n 10. pelvic x-ray-ilium mass n 10 61
![CT-APPENDICULAR MASS 10 62 CT-APPENDICULAR MASS 10 62](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-62.jpg)
CT-APPENDICULAR MASS 10 62
![CT-ILEOCAECAL TUBERCULOSIS 10 63 CT-ILEOCAECAL TUBERCULOSIS 10 63](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-63.jpg)
CT-ILEOCAECAL TUBERCULOSIS 10 63
![CT-ACTINOMYCOSIS 10 64 CT-ACTINOMYCOSIS 10 64](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-64.jpg)
CT-ACTINOMYCOSIS 10 64
![CT-CARCINOMA CAECUM 10 65 CT-CARCINOMA CAECUM 10 65](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-65.jpg)
CT-CARCINOMA CAECUM 10 65
![PELVIC KIDNEY-CT 10 66 PELVIC KIDNEY-CT 10 66](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-66.jpg)
PELVIC KIDNEY-CT 10 66
![IVP-PELVIC KIDNEY 10 67 IVP-PELVIC KIDNEY 10 67](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-67.jpg)
IVP-PELVIC KIDNEY 10 67
![PELVIC X-RAY ILIUM MASS 10 68 PELVIC X-RAY ILIUM MASS 10 68](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-68.jpg)
PELVIC X-RAY ILIUM MASS 10 68
![ENDOSCOPY-ILEOCAECAL TUBERCULOSIS 10 69 ENDOSCOPY-ILEOCAECAL TUBERCULOSIS 10 69](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-69.jpg)
ENDOSCOPY-ILEOCAECAL TUBERCULOSIS 10 69
![ENDOSCOPY-CROHN’S DISEASE 10 70 ENDOSCOPY-CROHN’S DISEASE 10 70](http://slidetodoc.com/presentation_image_h/14a5425c7cf3cea6acfb0b4619b349b6/image-70.jpg)
ENDOSCOPY-CROHN’S DISEASE 10 70
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10 71
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