Palpable soft sausage-like mass in the right lower quadrant

Introduction The cecal granuloma has cecal amoebic granuloma and schistosomiasis granuloma in the ileocecal area. The cecal amoebic granuloma is a complication of chronic colitis caused by Entamaeba Histolytica. The ileocecal schistosomiasis granuloma is a late stage disease of intestinal schistosomiasis. The schistosomiasis egg deposition site is mainly the terminal ileum except the colon. The clinical symptoms are localized abdominal pain and intermittent diarrhea. The right lower abdomen can be touched with soft sausage-like mass. In addition, chronic low intestinal obstruction is often accompanied by acute intestinal obstruction.

Cause

The lower right abdomen can be touched by the cause of a soft sausage-like mass:

1. Amelian granuloma of the cecum: due to long-term unhealed lesions, a large amount of fibrous tissue, inflammatory infiltration and edema of the mesentery and intestinal wall, and formation of a granulomatous mass, and intestinal stenosis or dyskinesia of the intestinal wall cause intestinal Obstruction phenomenon.

2. Schistosomiasis granuloma in the ileocecal area: It is the venous oocysts of the schistosomiasis that swell into the intestinal wall tissue around the blood vessels, especially the submucosa. Insect eggs cause leukocyte infiltration in the intestinal wall, pseudo nodules are formed, fibrous tissue is proliferated, late intestinal wall fibrosis is thickened, and mucosal proliferation forms granuloma.

an examination

Related inspection

Laparoscopic ascites examination

The lower right abdomen can be examined for the diagnosis of a soft sausage-like mass:

Clinical manifestations:

1. Amelian granuloma of the cecum: for localized abdominal pain and intermittent diarrhea, the occult blood in the feces is sometimes positive, and the right lower abdomen can touch the soft sausage-like mass.

2. The schistosomiasis granuloma in the ileocecal area is accompanied by a chronic low intestinal obstruction in addition to the right lower quadrant. The course of the disease often lasts for several months, and then symptoms of acute intestinal obstruction appear.

Differential diagnosis

The lower right abdomen can be touched by the confusing symptoms of a soft sausage-like mass:

A differential diagnosis of a soft sausage-like mass in the right lower quadrant:

1, abdomen "gas-like" mass: abdominal "gas-like" mass is a symptom of colon cancer. Colon cancer is more common in middle-aged and elderly people, and the majority of men aged 30-69 are more than women. Early symptoms are not obvious. Symptoms of common symptoms in the middle and late stage include abdominal pain and gastrointestinal irritation, abdominal mass, bowel habits and fecal trait changes, symptoms caused by anemia and chronic toxin absorption, and intestinal perforation.

2, the abdomen can touch a huge soft mass: the giant bladder - small colon - intestinal peristalsis syndrome patients are still normal weight at birth, later abdominal distension, no meconium, the abdomen can touch a huge soft mass, often susceptible to urinary Is an infection.

3, lower abdomen mass: lower abdomen mass refers to the lower abdomen has a lump, touch has a hard feeling, may be benign or malignant tumor, mostly for gynecological disease symptoms or intestinal, peritoneal diseases.

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