Abdominal pain

A 28 y/o female presents with severe left lower quadrant abdominal pain for 2 weeks. The intensity of pain increased 2 days ago, which is not relieving by pain killer. CT of the abdomen and pelvis shows thickened terminal ileum and cecum & dilated appendix. Colonoscopy shows mild terminal ileal and cecal inflammation. How this case should be managed?

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This patient has left lower quadrant pain and CT scan showed caecal inflammation Both these finding do not match with each other Caecum is located in right iliac fossa , sir the pain associated with caecum inflammation should also be on right side. However patient has left sided pain. Which is confounding the diagnosis. Adv MRI spine and abdomen to find cause of left sided pain

Chr appendicitis with inflammatory mass Conservative iv broadspectrum antibiotics inj Ceftriaxozone Inj meteronidazole Rest supportive treatment Suggest for interval 9r elective appendectomy

Thanx dr Kute Ankush
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Pain must be on right side try antibiotics rule out tuberculosis first then diagnose specefic

POSSIBLY ACUTE. . APPENDICITIS WITH .LEFT. SIDED INTESTINAL. PATHOLOGY ADVISABLE.. RULE. OUT TUBERCULOSIS

? APPENDICITIS.. ? COLITIS .. ? BOWEL PATHOLOGY.. NEED'S.. HISTOPATHOLOGICAL STUDY..

Appendicitis may be

Chronic appendicitis. Conservative management and interval appendicetomy can be done.

?? Appendicitis/Colitis. HPE..

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