SlideShare ist ein Scribd-Unternehmen logo
1 von 47
An unusual cause of small bowel obstruction… Senior Clinicopathologic Conference Andrew S Kim, MD April 23, 2008 Walter Reed Army Medical Center
History of Present Illness ,[object Object],[object Object],[object Object],[object Object],[object Object]
History of Present Illness ,[object Object],[object Object],[object Object],[object Object]
Other Past Medical/Surgical History ,[object Object],[object Object],[object Object],[object Object],[object Object]
Social History ,[object Object],[object Object],[object Object]
Physical Exam ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Labs/Path Reports ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Initial Hospital Course ,[object Object],[object Object],[object Object],[object Object]
Initial Hospital Course ,[object Object],[object Object],[object Object],[object Object],[object Object]
Initial Hospital Course ,[object Object],[object Object],[object Object]
Tissue slides and BM biopsy: ,[object Object],[object Object],[object Object]
Mesenteric Panniculitis 2x
Mesenteric Panniculitis 20x
Mesenteric Panniculitis 40x
CMML 2x
CMML 10x
CMML 20x
CMML 40x
CMML 100x
Summary Biopsy Results: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Mesenteric Panniculitis: Definition ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mesenteric Panniculitis: Epidemiology ,[object Object],[object Object],[object Object],[object Object]
Mesenteric Panniculitis: Etiologies 8 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mesenteric Panniculitis: Presentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mesenteric Panniculitis: Diagnosis ,[object Object],[object Object]
Mesenteric Panniculitis: Radiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mesenteric Panniculitis: Histology ,[object Object],[object Object],[object Object]
Mesenteric Panniculitis: Prognosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mesenteric Panniculitis: Treatment 7-10 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mesenteric Panniculitis:  Cause? ,[object Object],[object Object],[object Object],[object Object],[object Object]
What’s left? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Chronic Myelomonocytic Leukemia: CMML ,[object Object],[object Object],[object Object]
CMML - A Disease in the Shadows ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Faces of CMML ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Faces of CMML ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis of CMML ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CMML - Presentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CMML - Treatments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CMML and TKIs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transplant ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
Subsequent Hospital Course ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Subsequent Hospital Course ,[object Object],[object Object],[object Object],[object Object]
The Mayo Clinic ,[object Object],[object Object],[object Object],[object Object]
The Mayo Clinic ,[object Object],[object Object],[object Object],www.healthsystem.virginia.edu/internet/hematology
Acknowledgements/Questions ,[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Weitere ähnliche Inhalte

Was ist angesagt?

Acute pancreatitis
Acute  pancreatitisAcute  pancreatitis
Acute pancreatitis
barun kumar
 
Acute cholecystitis..
Acute cholecystitis..Acute cholecystitis..
Acute cholecystitis..
Sarif Raza
 
Diverticulitis
DiverticulitisDiverticulitis
Diverticulitis
shabeel pn
 

Was ist angesagt? (20)

Inflammatory bowel disease
Inflammatory bowel diseaseInflammatory bowel disease
Inflammatory bowel disease
 
Acute pancreatitis
Acute  pancreatitisAcute  pancreatitis
Acute pancreatitis
 
Abdominal tuberculosis dr syed obaid
Abdominal tuberculosis dr syed obaidAbdominal tuberculosis dr syed obaid
Abdominal tuberculosis dr syed obaid
 
Intestinal obstruction
Intestinal obstructionIntestinal obstruction
Intestinal obstruction
 
Acute pancreatitis
Acute pancreatitisAcute pancreatitis
Acute pancreatitis
 
Acute cholecystitis..
Acute cholecystitis..Acute cholecystitis..
Acute cholecystitis..
 
Operative steps in open appendicectomy
Operative steps in open appendicectomyOperative steps in open appendicectomy
Operative steps in open appendicectomy
 
Cholecystitis
CholecystitisCholecystitis
Cholecystitis
 
Obstructive jaundice
Obstructive jaundiceObstructive jaundice
Obstructive jaundice
 
Acute pancreatitis.ppt
Acute pancreatitis.pptAcute pancreatitis.ppt
Acute pancreatitis.ppt
 
Intestinal obstruction
Intestinal obstructionIntestinal obstruction
Intestinal obstruction
 
Acute Pancreatitis
Acute PancreatitisAcute Pancreatitis
Acute Pancreatitis
 
Gastric Cancer ( stomach tumor )
Gastric Cancer ( stomach tumor )Gastric Cancer ( stomach tumor )
Gastric Cancer ( stomach tumor )
 
Diverticulitis
DiverticulitisDiverticulitis
Diverticulitis
 
Intestinal obstruction by Dr.Usman Haqqani
Intestinal obstruction by Dr.Usman HaqqaniIntestinal obstruction by Dr.Usman Haqqani
Intestinal obstruction by Dr.Usman Haqqani
 
Acute appendicitis
Acute appendicitisAcute appendicitis
Acute appendicitis
 
Carcinoma of stomach
Carcinoma of stomach Carcinoma of stomach
Carcinoma of stomach
 
2471749 635657231037481250(1)
2471749 635657231037481250(1)2471749 635657231037481250(1)
2471749 635657231037481250(1)
 
Acute cholecystitis.pptx
Acute cholecystitis.pptxAcute cholecystitis.pptx
Acute cholecystitis.pptx
 
Abdominal Tuberculosis
Abdominal TuberculosisAbdominal Tuberculosis
Abdominal Tuberculosis
 

Andere mochten auch

Mouse Model of Allergy
Mouse Model of AllergyMouse Model of Allergy
Mouse Model of Allergy
Mainul Husain
 
Case presentation volvulus in geriatric patient
Case presentation volvulus in geriatric patientCase presentation volvulus in geriatric patient
Case presentation volvulus in geriatric patient
Reynel Dan
 

Andere mochten auch (10)

Systemic vasculitis & Alpha-1 antitrypsin deficiency_ Gema Tirado-Conde
Systemic vasculitis & Alpha-1 antitrypsin deficiency_ Gema Tirado-Conde Systemic vasculitis & Alpha-1 antitrypsin deficiency_ Gema Tirado-Conde
Systemic vasculitis & Alpha-1 antitrypsin deficiency_ Gema Tirado-Conde
 
Lecture samy- 2-4-16
Lecture  samy- 2-4-16Lecture  samy- 2-4-16
Lecture samy- 2-4-16
 
Mouse Model of Allergy
Mouse Model of AllergyMouse Model of Allergy
Mouse Model of Allergy
 
Neurodevelopmental consequences of prenatal alcohol exposure behavioural and...
Neurodevelopmental consequences of prenatal alcohol exposure  behavioural and...Neurodevelopmental consequences of prenatal alcohol exposure  behavioural and...
Neurodevelopmental consequences of prenatal alcohol exposure behavioural and...
 
Case presentation volvulus in geriatric patient
Case presentation volvulus in geriatric patientCase presentation volvulus in geriatric patient
Case presentation volvulus in geriatric patient
 
Vasculitides AND ANTI-GBM
Vasculitides AND ANTI-GBMVasculitides AND ANTI-GBM
Vasculitides AND ANTI-GBM
 
66 mesenteric lymph node enlargement
66 mesenteric lymph node enlargement66 mesenteric lymph node enlargement
66 mesenteric lymph node enlargement
 
Cryoglobulinemia ppt
Cryoglobulinemia pptCryoglobulinemia ppt
Cryoglobulinemia ppt
 
Update on vasculitis
Update on vasculitisUpdate on vasculitis
Update on vasculitis
 
Git signs
Git signsGit signs
Git signs
 

Ähnlich wie Small Bowel Obstruction

Chronic myeloid leukemia genetics гбйт ягш
Chronic myeloid leukemia genetics гбйт ягшChronic myeloid leukemia genetics гбйт ягш
Chronic myeloid leukemia genetics гбйт ягш
ssuser10ca4c
 
Nrsg 200 leukemia
Nrsg 200 leukemiaNrsg 200 leukemia
Nrsg 200 leukemia
tlofflan
 

Ähnlich wie Small Bowel Obstruction (20)

Leukemia2011
Leukemia2011Leukemia2011
Leukemia2011
 
Monstering Humans.Ppt 2003
Monstering Humans.Ppt 2003Monstering Humans.Ppt 2003
Monstering Humans.Ppt 2003
 
Moeez
Moeez Moeez
Moeez
 
testicular tumor
testicular tumortesticular tumor
testicular tumor
 
Chronic myeloid leukemia genetics гбйт ягш
Chronic myeloid leukemia genetics гбйт ягшChronic myeloid leukemia genetics гбйт ягш
Chronic myeloid leukemia genetics гбйт ягш
 
Colorectal ca
Colorectal caColorectal ca
Colorectal ca
 
Immunotherapy and Heme/Onc Emergencies for Emergency Medicine
Immunotherapy and Heme/Onc Emergencies for Emergency MedicineImmunotherapy and Heme/Onc Emergencies for Emergency Medicine
Immunotherapy and Heme/Onc Emergencies for Emergency Medicine
 
Hereditary Non-Polyposis Colorectal Cancer
Hereditary Non-Polyposis Colorectal CancerHereditary Non-Polyposis Colorectal Cancer
Hereditary Non-Polyposis Colorectal Cancer
 
A Case of Biphenotypic Acute Leukemia
A Case of Biphenotypic Acute LeukemiaA Case of Biphenotypic Acute Leukemia
A Case of Biphenotypic Acute Leukemia
 
Lymphomas2011
Lymphomas2011Lymphomas2011
Lymphomas2011
 
Childhood acute lympocytic leukemia
Childhood acute lympocytic leukemiaChildhood acute lympocytic leukemia
Childhood acute lympocytic leukemia
 
13 liver cancer
13 liver cancer13 liver cancer
13 liver cancer
 
Carcinoma stomach
Carcinoma stomachCarcinoma stomach
Carcinoma stomach
 
Chronic myeloid leukemia magdi sasi 2019 ramadan
Chronic myeloid leukemia magdi sasi 2019 ramadanChronic myeloid leukemia magdi sasi 2019 ramadan
Chronic myeloid leukemia magdi sasi 2019 ramadan
 
Testicular Cancer
Testicular CancerTesticular Cancer
Testicular Cancer
 
Nrsg 200 leukemia
Nrsg 200 leukemiaNrsg 200 leukemia
Nrsg 200 leukemia
 
A Case of Pure Red Cell Aplasia
A Case of Pure Red Cell AplasiaA Case of Pure Red Cell Aplasia
A Case of Pure Red Cell Aplasia
 
1 Introduction To Oncology
1 Introduction To Oncology1 Introduction To Oncology
1 Introduction To Oncology
 
Multiple Myeloma (Case presentation)
Multiple Myeloma (Case presentation) Multiple Myeloma (Case presentation)
Multiple Myeloma (Case presentation)
 
GI and Liver Malignancies
GI and Liver MalignanciesGI and Liver Malignancies
GI and Liver Malignancies
 

Mehr von jcm MD

Abd Pain and Drug Dependence
Abd Pain and Drug DependenceAbd Pain and Drug Dependence
Abd Pain and Drug Dependence
jcm MD
 
Sudden Cardiac Death
Sudden Cardiac DeathSudden Cardiac Death
Sudden Cardiac Death
jcm MD
 
Internal Medicine Board Review
Internal Medicine  Board ReviewInternal Medicine  Board Review
Internal Medicine Board Review
jcm MD
 
Cardiology Board Review 2008
Cardiology Board Review 2008Cardiology Board Review 2008
Cardiology Board Review 2008
jcm MD
 
Pulmonary Board Review 2008
Pulmonary Board Review 2008Pulmonary Board Review 2008
Pulmonary Board Review 2008
jcm MD
 
Chinle
ChinleChinle
Chinle
jcm MD
 
Liver Failure Case
Liver Failure CaseLiver Failure Case
Liver Failure Case
jcm MD
 
Riddler Q9
Riddler Q9Riddler Q9
Riddler Q9
jcm MD
 
Riddler Q6
Riddler Q6Riddler Q6
Riddler Q6
jcm MD
 
Riddler Q5
Riddler Q5Riddler Q5
Riddler Q5
jcm MD
 
Riddler Q9 Answer
Riddler Q9 AnswerRiddler Q9 Answer
Riddler Q9 Answer
jcm MD
 
Riddler Q4
Riddler Q4Riddler Q4
Riddler Q4
jcm MD
 
Riddler Q3
Riddler Q3Riddler Q3
Riddler Q3
jcm MD
 
Riddler Q1
Riddler Q1Riddler Q1
Riddler Q1
jcm MD
 
Abd Pain ER Case Presentation
Abd Pain ER Case PresentationAbd Pain ER Case Presentation
Abd Pain ER Case Presentation
jcm MD
 
Acute Pancreatitis Management Conference
Acute Pancreatitis Management ConferenceAcute Pancreatitis Management Conference
Acute Pancreatitis Management Conference
jcm MD
 
Vasculitis Overview
Vasculitis OverviewVasculitis Overview
Vasculitis Overview
jcm MD
 

Mehr von jcm MD (18)

Abd Pain and Drug Dependence
Abd Pain and Drug DependenceAbd Pain and Drug Dependence
Abd Pain and Drug Dependence
 
Sudden Cardiac Death
Sudden Cardiac DeathSudden Cardiac Death
Sudden Cardiac Death
 
Internal Medicine Board Review
Internal Medicine  Board ReviewInternal Medicine  Board Review
Internal Medicine Board Review
 
Cardiology Board Review 2008
Cardiology Board Review 2008Cardiology Board Review 2008
Cardiology Board Review 2008
 
Pulmonary Board Review 2008
Pulmonary Board Review 2008Pulmonary Board Review 2008
Pulmonary Board Review 2008
 
Chinle
ChinleChinle
Chinle
 
Liver Failure Case
Liver Failure CaseLiver Failure Case
Liver Failure Case
 
Riddler Q9
Riddler Q9Riddler Q9
Riddler Q9
 
Riddler Q6
Riddler Q6Riddler Q6
Riddler Q6
 
Riddler Q5
Riddler Q5Riddler Q5
Riddler Q5
 
Riddler Q9 Answer
Riddler Q9 AnswerRiddler Q9 Answer
Riddler Q9 Answer
 
Riddler Q4
Riddler Q4Riddler Q4
Riddler Q4
 
Riddler Q3
Riddler Q3Riddler Q3
Riddler Q3
 
Riddler Q1
Riddler Q1Riddler Q1
Riddler Q1
 
Abd Pain ER Case Presentation
Abd Pain ER Case PresentationAbd Pain ER Case Presentation
Abd Pain ER Case Presentation
 
Myocarditis
MyocarditisMyocarditis
Myocarditis
 
Acute Pancreatitis Management Conference
Acute Pancreatitis Management ConferenceAcute Pancreatitis Management Conference
Acute Pancreatitis Management Conference
 
Vasculitis Overview
Vasculitis OverviewVasculitis Overview
Vasculitis Overview
 

Kürzlich hochgeladen

FULL ENJOY Call Girls In Mahipalpur Delhi Contact Us 8377877756
FULL ENJOY Call Girls In Mahipalpur Delhi Contact Us 8377877756FULL ENJOY Call Girls In Mahipalpur Delhi Contact Us 8377877756
FULL ENJOY Call Girls In Mahipalpur Delhi Contact Us 8377877756
dollysharma2066
 
Chandigarh Escorts Service 📞8868886958📞 Just📲 Call Nihal Chandigarh Call Girl...
Chandigarh Escorts Service 📞8868886958📞 Just📲 Call Nihal Chandigarh Call Girl...Chandigarh Escorts Service 📞8868886958📞 Just📲 Call Nihal Chandigarh Call Girl...
Chandigarh Escorts Service 📞8868886958📞 Just📲 Call Nihal Chandigarh Call Girl...
Sheetaleventcompany
 
Call Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
Call Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service BangaloreCall Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
Call Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
amitlee9823
 
Call Girls Electronic City Just Call 👗 7737669865 👗 Top Class Call Girl Servi...
Call Girls Electronic City Just Call 👗 7737669865 👗 Top Class Call Girl Servi...Call Girls Electronic City Just Call 👗 7737669865 👗 Top Class Call Girl Servi...
Call Girls Electronic City Just Call 👗 7737669865 👗 Top Class Call Girl Servi...
amitlee9823
 
Russian Call Girls In Gurgaon ❤️8448577510 ⊹Best Escorts Service In 24/7 Delh...
Russian Call Girls In Gurgaon ❤️8448577510 ⊹Best Escorts Service In 24/7 Delh...Russian Call Girls In Gurgaon ❤️8448577510 ⊹Best Escorts Service In 24/7 Delh...
Russian Call Girls In Gurgaon ❤️8448577510 ⊹Best Escorts Service In 24/7 Delh...
lizamodels9
 
FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756
FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756
FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756
dollysharma2066
 
Call Girls In Noida 959961⊹3876 Independent Escort Service Noida
Call Girls In Noida 959961⊹3876 Independent Escort Service NoidaCall Girls In Noida 959961⊹3876 Independent Escort Service Noida
Call Girls In Noida 959961⊹3876 Independent Escort Service Noida
dlhescort
 
Call Now ☎️🔝 9332606886🔝 Call Girls ❤ Service In Bhilwara Female Escorts Serv...
Call Now ☎️🔝 9332606886🔝 Call Girls ❤ Service In Bhilwara Female Escorts Serv...Call Now ☎️🔝 9332606886🔝 Call Girls ❤ Service In Bhilwara Female Escorts Serv...
Call Now ☎️🔝 9332606886🔝 Call Girls ❤ Service In Bhilwara Female Escorts Serv...
Anamikakaur10
 

Kürzlich hochgeladen (20)

Value Proposition canvas- Customer needs and pains
Value Proposition canvas- Customer needs and painsValue Proposition canvas- Customer needs and pains
Value Proposition canvas- Customer needs and pains
 
FULL ENJOY Call Girls In Mahipalpur Delhi Contact Us 8377877756
FULL ENJOY Call Girls In Mahipalpur Delhi Contact Us 8377877756FULL ENJOY Call Girls In Mahipalpur Delhi Contact Us 8377877756
FULL ENJOY Call Girls In Mahipalpur Delhi Contact Us 8377877756
 
SEO Case Study: How I Increased SEO Traffic & Ranking by 50-60% in 6 Months
SEO Case Study: How I Increased SEO Traffic & Ranking by 50-60%  in 6 MonthsSEO Case Study: How I Increased SEO Traffic & Ranking by 50-60%  in 6 Months
SEO Case Study: How I Increased SEO Traffic & Ranking by 50-60% in 6 Months
 
PHX May 2024 Corporate Presentation Final
PHX May 2024 Corporate Presentation FinalPHX May 2024 Corporate Presentation Final
PHX May 2024 Corporate Presentation Final
 
Malegaon Call Girls Service ☎ ️82500–77686 ☎️ Enjoy 24/7 Escort Service
Malegaon Call Girls Service ☎ ️82500–77686 ☎️ Enjoy 24/7 Escort ServiceMalegaon Call Girls Service ☎ ️82500–77686 ☎️ Enjoy 24/7 Escort Service
Malegaon Call Girls Service ☎ ️82500–77686 ☎️ Enjoy 24/7 Escort Service
 
Chandigarh Escorts Service 📞8868886958📞 Just📲 Call Nihal Chandigarh Call Girl...
Chandigarh Escorts Service 📞8868886958📞 Just📲 Call Nihal Chandigarh Call Girl...Chandigarh Escorts Service 📞8868886958📞 Just📲 Call Nihal Chandigarh Call Girl...
Chandigarh Escorts Service 📞8868886958📞 Just📲 Call Nihal Chandigarh Call Girl...
 
Unveiling Falcon Invoice Discounting: Leading the Way as India's Premier Bill...
Unveiling Falcon Invoice Discounting: Leading the Way as India's Premier Bill...Unveiling Falcon Invoice Discounting: Leading the Way as India's Premier Bill...
Unveiling Falcon Invoice Discounting: Leading the Way as India's Premier Bill...
 
Business Model Canvas (BMC)- A new venture concept
Business Model Canvas (BMC)-  A new venture conceptBusiness Model Canvas (BMC)-  A new venture concept
Business Model Canvas (BMC)- A new venture concept
 
Lundin Gold - Q1 2024 Conference Call Presentation (Revised)
Lundin Gold - Q1 2024 Conference Call Presentation (Revised)Lundin Gold - Q1 2024 Conference Call Presentation (Revised)
Lundin Gold - Q1 2024 Conference Call Presentation (Revised)
 
Dr. Admir Softic_ presentation_Green Club_ENG.pdf
Dr. Admir Softic_ presentation_Green Club_ENG.pdfDr. Admir Softic_ presentation_Green Club_ENG.pdf
Dr. Admir Softic_ presentation_Green Club_ENG.pdf
 
Call Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
Call Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service BangaloreCall Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
Call Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
 
Call Girls Electronic City Just Call 👗 7737669865 👗 Top Class Call Girl Servi...
Call Girls Electronic City Just Call 👗 7737669865 👗 Top Class Call Girl Servi...Call Girls Electronic City Just Call 👗 7737669865 👗 Top Class Call Girl Servi...
Call Girls Electronic City Just Call 👗 7737669865 👗 Top Class Call Girl Servi...
 
Russian Call Girls In Gurgaon ❤️8448577510 ⊹Best Escorts Service In 24/7 Delh...
Russian Call Girls In Gurgaon ❤️8448577510 ⊹Best Escorts Service In 24/7 Delh...Russian Call Girls In Gurgaon ❤️8448577510 ⊹Best Escorts Service In 24/7 Delh...
Russian Call Girls In Gurgaon ❤️8448577510 ⊹Best Escorts Service In 24/7 Delh...
 
Whitefield CALL GIRL IN 98274*61493 ❤CALL GIRLS IN ESCORT SERVICE❤CALL GIRL
Whitefield CALL GIRL IN 98274*61493 ❤CALL GIRLS IN ESCORT SERVICE❤CALL GIRLWhitefield CALL GIRL IN 98274*61493 ❤CALL GIRLS IN ESCORT SERVICE❤CALL GIRL
Whitefield CALL GIRL IN 98274*61493 ❤CALL GIRLS IN ESCORT SERVICE❤CALL GIRL
 
Cheap Rate Call Girls In Noida Sector 62 Metro 959961乂3876
Cheap Rate Call Girls In Noida Sector 62 Metro 959961乂3876Cheap Rate Call Girls In Noida Sector 62 Metro 959961乂3876
Cheap Rate Call Girls In Noida Sector 62 Metro 959961乂3876
 
FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756
FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756
FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756
 
Call Girls In Noida 959961⊹3876 Independent Escort Service Noida
Call Girls In Noida 959961⊹3876 Independent Escort Service NoidaCall Girls In Noida 959961⊹3876 Independent Escort Service Noida
Call Girls In Noida 959961⊹3876 Independent Escort Service Noida
 
Famous Olympic Siblings from the 21st Century
Famous Olympic Siblings from the 21st CenturyFamous Olympic Siblings from the 21st Century
Famous Olympic Siblings from the 21st Century
 
BAGALUR CALL GIRL IN 98274*61493 ❤CALL GIRLS IN ESCORT SERVICE❤CALL GIRL
BAGALUR CALL GIRL IN 98274*61493 ❤CALL GIRLS IN ESCORT SERVICE❤CALL GIRLBAGALUR CALL GIRL IN 98274*61493 ❤CALL GIRLS IN ESCORT SERVICE❤CALL GIRL
BAGALUR CALL GIRL IN 98274*61493 ❤CALL GIRLS IN ESCORT SERVICE❤CALL GIRL
 
Call Now ☎️🔝 9332606886🔝 Call Girls ❤ Service In Bhilwara Female Escorts Serv...
Call Now ☎️🔝 9332606886🔝 Call Girls ❤ Service In Bhilwara Female Escorts Serv...Call Now ☎️🔝 9332606886🔝 Call Girls ❤ Service In Bhilwara Female Escorts Serv...
Call Now ☎️🔝 9332606886🔝 Call Girls ❤ Service In Bhilwara Female Escorts Serv...
 

Small Bowel Obstruction