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Right ilic focca lymph nodes
My 20 years old daughter CECT show lymphnode 15 by 7 mm with hypo enhancing centre in right ilic focca she has kidney stone and have pain in lower rti.side since 8 months with gas and constipation doctor has given anti biotices kindly guide is it some serious issue and what will be the treatment
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Your daughter’s CECT report shows an enlarged lymph node (15 × 7 mm) with a hypo-enhancing centre in the right iliac fossa. This finding, along with her history of pain in the lower abdomen for the last 8 months, gas, and constipation, needs careful evaluation.
Possible Causes
• Reactive lymphadenitis due to infection in the intestine or urinary tract (quite common)
• Tubercular lymphadenitis (intestinal TB is common in our region)
• Less commonly, inflammatory bowel disease (Crohn’s disease)
Her kidney stone is likely an incidental finding and not the cause of this persistent right iliac fossa pain.
Next Steps
1. check for fever, weight loss, loss of appetite, bowel habit changes, blood in stool, chronic cough
2. Laboratory tests – CBC, ESR, CRP, LFT, RFT, Quantiferon-TB Gold and Mantoux.
3. Stool routine & occult blood test.
4. Urine routine & culture
5. Chest x ray
Health Tips
This is not an immediate surgical emergency. However, since the pain is chronic (8 months) and the node shows necrosis-like features (hypo-enhancing), we must rule out TB and Crohn’s disease before deciding treatment.
Answered
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