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Special Feature | Oct 2012

Image of the Month—Diagnosis

Arch Surg. 2012;147(10):976. doi:10.1001/archsurg.147.10.976.

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Correspondence: W. Charles Conway, MD, Department of Surgery, Ochsner Medical Center, 1514 Jefferson Hwy, New Orleans, LA 70121 (wconway@ochsner.org).

Accepted for Publication: September 26, 2011.

Author Contributions: Study concept and design: Lyons and Conway. Acquisition of data: Lyons and Conway. Analysis and interpretation of data: Lyons and Halat. Drafting of the manuscript: Lyons, Halat, and Conway. Critical revision of the manuscript for important intellectual content: Lyons and Conway. Study supervision: Conway.

Financial Disclosure: None reported.

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Figure 2. Pulsatile bleeding from the inferior phrenic artery was controlled intraoperatively with suture ligation (black arrow). A fibrinous mass of tissue was pulled from a small cavity in the diaphragm (white arrow) posterolateral to the inferior vena cava (asterisk).

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Figure 3. Pathological evaluation of the fibrinous tissue specimen demonstrated products of conception, including chorionic villi with surrounding trophoblastic cells (arrow; hematoxylin-eosin, original magnification ×100).

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Image of the Month—Diagnosis. Arch Surg. 2012;147(10):976. doi:10.1001/archsurg.147.10.976.

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