PMC6488773_01
Patient's chest X-ray demonstrating consolidation of the upper zone of the
right lung combined with cavities.
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On chest X-ray, consolidation of the upper zone of the right lung was diagnosed combined with cavities (Figure 1).
Contrast-enhanced chest CT revealing one large cavitation lesion and two
smaller cavitation lesions in contact with the former on the upper lobe of
the right lung and satellite consolidation lesions.
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Contrast-enhanced chest and abdominal computed tomography (CT) was performed and revealed one large cavitation lesion and two smaller cavitation lesions in contact with the former on the upper lobe of the right lung with satellite consolidation lesions compatible with TB (Figure 2).
Contrast-enhanced abdominal CT demonstrating small bowel obstruction signs
with distended small bowel loops and diffuse multiple air-fluid levels and a
mass possibly of lymphatic constitution with a proximately 3 cm diameter on
the mesentery.
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In addition, a mass possibly of lymphatic constitution with a proximately 3 cm diameter was demonstrated on the mesentery (Figure 3).
The mass of the mesenter resembling a caseating necrosis of mesenteric lymph
nodes.
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The mildly ischemic small bowel involved in the volvulus regained its normal complexion after 10 min in warm saline. The mass of the mesentery resembled a caseating necrosis of mesenteric lymph nodes (Figure 4).
The mass of the mesenter resembling a caseating necrosis of mesenteric lymph
nodes after biopsy was obtained.
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Material for biopsy and microbiological analysis was obtained from the mass (Figure 5).