Concluded Case

40 yr old male,h/o suprapubic catheterisation 5 months back for urethral stricture;came with chief complaints of pain abdomen with o stipati on fir 3 days, on x ray multiple air fluid level with pneumoperitoneum. On exploratory laparotomy, one perforation 100cm from dj flexure ,another 150cm from dj flexure,in between two circumferential stricture was there. Resection(50cm)and anastomoses done in two layer.specimen sent for HPE. What can be the cause circumferential multiple stricture with multiple perforation??guess plz

40 yr old male,h/o suprapubic catheterisation 5 months back for urethral stricture;came with chief complaints of pain abdomen with o stipati on fir 3 days, on x ray multiple air fluid level with pneumoperitoneum. On exploratory laparotomy, one perforation 100cm from dj flexure ,another 150cm from dj flexure,in between two circumferential stricture was there. Resection(50cm)and anastomoses done in two layer.specimen sent for HPE. What can be the cause circumferential multiple stricture with multiple perforation??guess plz

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Concluded answer

Biopsy report-neuromuscular and vascular hamstrings,pt is taking orally now

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History suggest multiple air fluid levels and pneumoperitoneum and constipation which is consistent with perforation There is also h/o suprapubic catheterisation for urethral stricture this likely left leaking urine in peritoneal cavity inviting peritonitis and enteritis leading to circumferential stricture

Valuable opinion sir,lets see what the hpe report comes!!!
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Possible causes TB chronic peptic ulcer disease Caustic injury H pylori Malignancy traumatic injuries Pancreatitis.

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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

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TB Chronic peptic ulcer

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Perforation with stricture Intestinal obstruction Anastomosis

Possible causes are Tuberculosis Crohn's disease

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Intestinal obstruction

Rule out Koch's abdomen? DU? Crown's disease?

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CHRONIC FIBROSIS ? PANCREATIC DYSFUNCTION ?

Biopsy report-neuromuscular and vascular hamstrings,pt is taking orally now

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