TY  - JOUR
T1  - IMage of the month—quiz case
AU  - Chance L. I, Thomas C. N
Y1  - 2010/09/01
N1  - 10.1001/archsurg.2010.168-a
JO  - Archives of Surgery
SP  - 911
EP  - 911
VL  - 145
IS  - 9
N2  - 
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).

SN  - 0004-0010
M3  - doi: 10.1001/archsurg.2010.168-a
UR  - http://dx.doi.org/10.1001/archsurg.2010.168-a
ER  -