A 31yo FEMALE PATIENT SUFFERED FROM ABDOMINAL DISTENSION AND PAIN.
FOR 20 YEARS SHE HAD GONE THROUGH AN OPENED OPERATION FOR APPENDICECTOMY AND THEN AN ANTI-TUBERCULOSIS TREATMENT HAD BEEN DONE.
ULTRASOUND IMAGES= ONE BIG MASS FROM PELVIS TO MIDDLE ABDOMEN, SIZE 25CM WITH “UMBRELLA SIGN ” BY THE STRONG ATTENUATION.
ON A PLAIN ABDOMINAL X-RAY FILM THERE WERE MANY OSTEOGENIC RINGS INSIDE THE MASS.MSCT SHOWED THAT THE MASS WAS WELL BORDERED, WITH GAS INSIDE AND 12 OSTEOGENIC RINGS .
Operation detected a diverticulum of the terminal ilium which was made by fecalith located at the iliocecal angle, and the outside walls were in adhesion and inflamation.
The diverticulum contained an old coprostatic mass including 12 stone-like very hard structures, each one about 25mm in diameter. By breaking the stone-like hard structure it existed surprisingly the “fossil” of morrhuae oil (cod liver oil) pill.