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What Does This Biopsy Report Indicate?
Question: For subacute intestinal obstruction,exploratory laparotomy adhesiolysis excision of band done under GA.operative findings-multiple peritoneal nodule and abdominal cocion dense adhesion at left hypochondriac involving upper small bowel jejune my and left colon.but biopsy nodule show necrotising granule Mateos inflammation .AFB negative further TB PCR show negative.is it Tb related inflammation ?why it is not shown in TB PCR. Is there any further test to be done and need second opinion . Already started TB medication . Is the diagnosis correct or any other tests to be done or any other disease ?
Brief Answer:
hello
Detailed Answer:
Hi
Welcome to HCM
Thank you for the query
I understand your concern
Well necrotising granulomatous inflammation is classically seen in tuberculosis and usually there is no other differential diagnosis
It's a correct decision to start tuberculosis treatment
Can get second opinion of the biopsy from a histopathology doctor
Also to pcr is not a very sensitive test hence can be negative especially in abdominal tuberculosis
Hope this answers your query
Wish you a speedy recovery
Happy to help
hello
Detailed Answer:
Hi
Welcome to HCM
Thank you for the query
I understand your concern
Well necrotising granulomatous inflammation is classically seen in tuberculosis and usually there is no other differential diagnosis
It's a correct decision to start tuberculosis treatment
Can get second opinion of the biopsy from a histopathology doctor
Also to pcr is not a very sensitive test hence can be negative especially in abdominal tuberculosis
Hope this answers your query
Wish you a speedy recovery
Happy to help
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Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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