Saudi Journal of Gastroenterology
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Year : 2013  |  Volume : 19  |  Issue : 5  |  Page : 238-239
Widespread nodules and adhesions in abdomen

Department of General Surgery, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran

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Date of Web Publication13-Sep-2013

How to cite this article:
Noaparast M, Mirsharifi R, Parsaei R. Widespread nodules and adhesions in abdomen. Saudi J Gastroenterol 2013;19:238-9

How to cite this URL:
Noaparast M, Mirsharifi R, Parsaei R. Widespread nodules and adhesions in abdomen. Saudi J Gastroenterol [serial online] 2013 [cited 2021 Dec 8];19:238-9. Available from:

A 36-year-old prisoner was brought to our emergency department with complaint of lower gastrointestinal bleeding. He had hematochezia since 1 month and also experienced generalized abdominal pain in last few months. Colonoscopy was performed and multiple polyps in colon noted without any signs of active bleeding. Upper gastrointestinal (GI) endoscopy was normal. A Technetium-99 red blood cell scan also yielded no obvious locus of bleeding. A day after the RBC scan, the patient experienced an episode of massive bleeding. The patient was resuscitated and was taken to operating room for GI tract exploration with a view towards total colectomy. Laporotomy was performed and serous fluid was found in the abdomen with severe adhesions found in the entire abdomen area, widespread white nodules were seen on peritoneum, omentum, bowels and liver [Figure 1]. A Biopsy was taken from the nodules.
Figure 1: Multiple white nodules in peritoneal surface

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   Question Top

What is the diagnosis?

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   References Top

1.Aston NO. Abdominal tuberculosis. World J Surg 1997;21:492-9.  Back to cited text no. 1
2.Rasheed S, Zinicola R, Watson D, Bajwa A, McDonald PJ. Intra-abdominal and gastrointestinal tuberculosis. Colorectal Dis 2007;9:773-83.  Back to cited text no. 2
3.Panoskaltsis TA, Moore DA, Haidopoulos DA, McIndoe AG. Tuberculous peritonitis: Part of the differential diagnosis in ovarian cancer. Am J Obstet Gynecol 2000;182:740-2.  Back to cited text no. 3

Correspondence Address:
Reza Parsaei
Department of General Surgery Office, Imam Khomeini Hospital, Keshavarz Boulevard, Tehran
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-3767.118138

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