Case 204

 A sixty one-year-old male presented in our hospital for general fatigue and mild fever. He felt abdominal muscular pain during abdomen palpitation. Laboratory test revealed WBC 21680/mm³, CRP 14.65 mg/dL, Total bilirubin 1.64 mg/dL, ALP 461 IU/L, AST 48 IU/L, ALT 41IU/L.
He received non-enhanced and contrast-enhanced abdominal CT for further examination (Figs 1-4).

What is your diagnosis ?

1.　Small bowel cancer

2.　Small bowel GIST (gastrointestinal stromal tumor)

3.　Peritoneal malignant lymphoma

4.　Small bowel neurinoma

5.　Small bowel leiomyoma

answer

2020.9.9