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Special Feature |

Image of the Month—Quiz Case FREE

Richard Bradbury, MBBS; Andreas L. Lambrianides, FRACS; Barry O’Loughlin, FRACS, FRCS; Sheyna Manawwar, MD
[+] Author Affiliations

Author Affiliations: Toowoomba Hospital, Toowoomba (Dr Bradbury), Redcliffe Hospital, Redcliffe (Dr Lambrianides), and Royal Brisbane and Women's Hospital, Brisbane (Drs O’Loughlin and Manawwar), Queensland, Australia.


SECTION EDITOR: CARL E. BREDENBERG, MD


Arch Surg. 2011;146(12):1445. doi:10.1001/archsurg.146.12.1445.
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Published online

A 52-year-old man presented to the emergency department with a history of acute left lower quadrant pain. On examination, he was normotensive and mildly tachycardic with a low-grade fever. He had a firm, distended abdomen with left lower quadrant tenderness. Computed tomography (CT) revealed diverticulitis and a large mass on the right side of the abdomen. This mass was further examined with magnetic resonance imaging (MRI) (Figure 1), which revealed that the mass displaced the kidney inferiorly, the liver superiorly, and the inferior vena cava and the second part of duodenum medially. After resolution of hisdiverticulitis, a laparotomy was performed through a midline incision. The mass (Figure 2) was removed without complication, and the patient made a speedy recovery with early discharge.

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Graphic Jump Location

Figure 1. Sagittal section of a specimen showing a large, right-sided abdominal mass on magnetic resonance imaging.

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Graphic Jump Location

Figure 2. Section of a specimen of the mass.

WHAT IS THE DIAGNOSIS?

A.  Teratoma

B.  Liposarcoma

C.  Adrenal myelolipoma

D.  Renal angiomyolipoma

Figures

Place holder to copy figure label and caption
Graphic Jump Location

Figure 1. Sagittal section of a specimen showing a large, right-sided abdominal mass on magnetic resonance imaging.

Place holder to copy figure label and caption
Graphic Jump Location

Figure 2. Section of a specimen of the mass.

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