TY  - JOUR
T1  - IMage of the month—quiz case
AU  - Kandil E, Campbell K, Tufaro A
Y1  - 2009/02/01
N1  - 10.1001/archsurg.2008.582-a
JO  - Archives of Surgery
SP  - 191
EP  - 192
VL  - 144
IS  - 2
N2  - 
A 24-year-old man was referred for evaluation and management of a large left abdominal wall mass. He had no other medical problems, no history of previous surgical procedures, and no previous abdominal wall trauma. The patient had a small spot on his abdominal wall at birth that had gradually increased; in the last year, the spot exhibited a significant increase, and the patient became alarmed when he started to experience chronic abdominal pain, constant constipation, and dysuria. A fine needle aspiration biopsy of the mass revealed evidence of small blood vessel proliferation in both the dermis and the subdermal adipose tissue. On examination there was a visible, palpable, nontender, 10 × 15-cm abdominal wall mass, with bluish skin discoloration.

SN  - 0004-0010
M3  - doi: 10.1001/archsurg.2008.582-a
UR  - http://dx.doi.org/10.1001/archsurg.2008.582-a
ER  -