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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Hepatosplenomegaly And Lymphadenopathy With Ileum Thickening. On Antibiotics. Appendicitis Also Suspected. Need Advice

Thank you. My daughter is in a hospital in India. Her CT scan shows mild hepatosplenomegaly and mesentic lymphadenopathy with diffuse thickening of ileum. She has been on antibiotics in her IV and pain killers. Her condition has not changed in the past five or six hours. They are speaking about laproscopic surgery in eight or ten hours. The also have said they suspect appendicitis . Can you explain what might be going on please?
Thu, 27 Sep 2012
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Gastroenterologist, Surgical,  's  Response
Hi,
Thanks for writing in HCM.
The CT findings point towards a chronic infection. Thickening of the ileum associated with abdominal pain is usually due to chronic infections such as TB or Crohn's disease.However in India TB is more common. If the appendix is not seen on Ct it would be futile to remove the appendix. A good trial of conservative treatment accomapanied by a proper reassesment will help rule out appendictis.
I hope this answers your querry.
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Suffering From Hepatosplenomegaly And Lymphadenopathy With Ileum Thickening. On Antibiotics. Appendicitis Also Suspected. Need Advice

Hi, Thanks for writing in HCM. The CT findings point towards a chronic infection. Thickening of the ileum associated with abdominal pain is usually due to chronic infections such as TB or Crohn s disease.However in India TB is more common. If the appendix is not seen on Ct it would be futile to remove the appendix. A good trial of conservative treatment accomapanied by a proper reassesment will help rule out appendictis. I hope this answers your querry.