A 78-year-old woman presented with palpitations and was diagnosed as having fast atrial fibrillation. On routine abdominal examination, a firm, mobile, nontender mass in the central abdomen was palpated. Abdominal computed tomography demonstrated a 10-cm-diameter, well-circumscribed lesion that was part solid and part cystic. It displaced small bowel loops and appeared to be intimately related to the inferior falciform ligament (Figure 1). Based on these findings, the patient underwent laparotomy via an upper midline incision. The mass (Figure 2) was identified and appeared to be attached to the inferior border of the liver. No other intra-abdominal abnormality was found and the mass was excised in toto. The patient made an uneventful recovery and was discharged home 4 days after surgery.
Axial computed tomographic image of the abdomen.
Mass identified at midline laparotomy. The arrow points to the inferior border of the liver.
A. Sarcoma of the falciform ligament
B. Pedunculated hepatocellular carcinoma
C. Mesenteric gastrointestinal stromal tumor
D. Omental dermoid cyst
Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature
Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal
Instructions
Thank you for submitting a comment on this article. It will be reviewed by JAMA Surgery editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
* = Required Field
Disclosure of Any Conflicts of Interest* Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers’ bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more
Subscribe for full-text access to content from 1998 forward and a host of useful features
Activate your current subscription (AMA members and current subscribers)
Purchase Online Access to this article for 24 hours
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 3
Customize your page view by dragging & repositioning the boxes below.
Users' Guides to the Medical Literature Clinical Resolution
Users' Guides to the Medical Literature Clinical Scenario
All results at JAMAevidence.com >
and access these and other features:
Register Now
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Need assistance?
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.