0
Special Feature |

Image of the Month—Quiz Case FREE

Irwin Chance L., MD; Naslund Thomas C., MD
[+] Author Affiliations

Author Affiliations: Division of Vascular Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.


Section Editor: Carl E. Bredenberg, MD


Arch Surg. 2010;145(9):911. doi:10.1001/archsurg.2010.168-a.
Text Size: A A A
Published online

A 78-year-old man presented with fevers, cough, weakness, and diarrhea for 3 days. He had a recent hospitalization for pneumonia and acute-on-chronic renal insufficiency thought to be related to obstruction. Physical examination revealed a mildly distended abdomen with a large, nonpulsatile lower abdominal mass extending to the level of the umbilicus. Laboratory testing revealed a slight elevation in the serum creatinine level but was otherwise unremarkable. A computed tomographic scan of the abdomen and pelvis revealed a large pelvic mass with a few metallic densities about the periphery (Figure 1).

Place holder to copy figure label and caption
Figure 1.

Computed tomographic scan of the pelvis shows a large, homogeneous mass with a metallic density at the periphery.

Graphic Jump Location

WHAT IS THE DIAGNOSIS?

A.  Iliac vein leiomyoma

B.  Pelvic sarcoma

C.  Internal iliac artery aneurysm

D.  Distended bladder

Figures

Place holder to copy figure label and caption
Figure 1.

Computed tomographic scan of the pelvis shows a large, homogeneous mass with a metallic density at the periphery.

Graphic Jump Location

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Topics