TY - JOUR T1 - IMage of the month—quiz case AU - Crichlow L, Jaffe BM, Bellows CF Y1 - 2012/08/01 N1 - 10.1001/archsurg.2011.963 JO - Archives of Surgery SP - 781 EP - 781 VL - 147 IS - 8 N2 - A 52-year-old man came to the clinic with occasional dysuria, urinary frequency, and nonspecific abdominal pain lasting 5 months. His medical history included alcohol abuse/dependence and hypertension. On physical examination, his abdomen was soft, nontender, and nondistended, with no palpable masses. An abdominal ultrasound identified a cystic mass in his pelvis. Magnetic resonance imaging of the abdomen and pelvis revealed a large cystic mass measuring 7.5 × 5.7 × 6.0 cm in the right lower quadrant of the abdomen (Figure 1). At elective exploratory laparotomy, a mass at the tip of the appendix was identified (Figure 2). The patient's postoperative course was uncomplicated, and he was discharged home on postoperative day 5. SN - 0004-0010 M3 - doi: 10.1001/archsurg.2011.963 UR - http://dx.doi.org/10.1001/archsurg.2011.963 ER -