Intestinal hymphangieclesia in an adult presented with intestinal obstruction which required laparotomy

A 60 year old man presented in November 2011 with colicky abdominal pain, abdominal distension and constipation of three days. He had chronic loss of weight. Past medical and surgical history was uneventful. No past history of tuberculosis. Patient was pale, emaciated and ill looking. He did not have any lymphadenopathy. His abdomen was grossly distended. Rectum was empty. He had tachycardia and blood pressure was normal. Rest of the systems did not reveal any clinical abnormality. X ray erect abdomen showed multiple fluid levels with dilated bowel loops. Hb was 8.9g/dl, WBC, platelets, blood urea and serum electrolytes were normal. Chest x ray was normal.