RESUMEN
The case was an 18-year-old female with progressive crampy abdominal pain, nausea and vomiting, initiated from 4 months ago, Who had 4-5 Kg weight loss in this period. In physical examination, an ill-defined mass with mild tenderness in periumblical region palpation was detected. In upper GI endoscopy, bulging folds with a necrotic mass in D2- D3 were detected. In small bowel series study, cut off of barium in D2-D3 portions was seen. For better evaluation spiral CT was performedin which a large mass with extension to small bowel in retroperitoneum was seen. In Pathologic study, classification granuloma compatible with tuberculosis was reported. This finding was confirmed with Ziel Neelsen staining and PCR
Asunto(s)
Humanos , Femenino , Tuberculosis/diagnóstico , Tuberculosis/patología , Tuberculosis/diagnóstico por imagen , Peritonitis Tuberculosa , Neoplasias Retroperitoneales/diagnóstico , Neoplasias Retroperitoneales/diagnóstico por imagen , Neoplasias Retroperitoneales/etiología , Dolor Abdominal/etiología , Náusea/etiología , Vómitos/etiología , Tomografía Computarizada Espiral , Reacción en Cadena de la Polimerasa , Granuloma/etiología , Endoscopía GastrointestinalRESUMEN
A 42-year-old male with history of HCV, presented with cutaneous lesions which were initiated from 2 weeks ago. Lesions presented with tenderness and red bulla in anterior aspect of left leg. The lesion gradually began to rupture and desquamation. Patient had similar lesions during the last year. Hyperpigmentation in old lesions was seen. Porphyria cutanea tarda was suspected. Diagnosis was confirmed with high urinary levels of uroporphyrinogen