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Image of the Month—Quiz Case FREE

Randall J. Duthler, BS; P. Marco Fisichella, MD
[+] Author Affiliations

Author Affiliations: Department of Surgery, University of Illinois at Chicago.


Arch Surg. 2005;140(7):705. doi:10.1001/archsurg.140.7.705.
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Published online

A 45-year-old woman presented with a 3-day history of vomiting and generalized abdominal pain. Physical examination showed an afebrile and stable patient in moderate distress with mild diffuse abdominal tenderness, absent peritoneal signs, and a discrete intra-abdominal mass. Laboratory findings and medical and surgical history were unremarkable. Abdominal computed tomography was performed (Figure 1 and Figure 2).

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Figure 1.

Computed tomographic scan of the abdomen.

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Figure 2.

Computed tomographic scan of the abdomen.

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WHAT IS THE DIAGNOSIS?

A. Pancreatic cystic neoplasm

B. Polycystic liver disease

C. Cystic lymphangioma

D. Bile duct cyst

Figures

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Figure 1.

Computed tomographic scan of the abdomen.

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Figure 2.

Computed tomographic scan of the abdomen.

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