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David J. Kaczorowski, MD; Giselle G. Hamad, MD

Arch Surg. 2007;142(11):1105.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

A 52-year-old woman with a known history of uterine fibroids visited her gynecologist with dysfunctional uterine bleeding. She denied having abdominal pain, nausea, vomiting, diarrhea, melena, or change in her weight. Her father had a history of colon cancer, but the remainder of her history was otherwise noncontributory. On examination, the patient was well nourished. Her abdomen was soft and nontender with no palpable mass.

For further evaluation of her bleeding, she underwent pelvic ultrasonography, which was notable for a fibroid uterus and a right lower quadrant cystic mass that appeared to be associated with the appendix. A computed tomographic scan of the abdomen and pelvis was obtained (Figure 1).

Figure appears in full text version. Figure 1. Computed tomographic scan revealing a cystic mass in the right lower quadrant.

The patient was explored laparoscopically. We encountered a cystic lesion that was localized to the right . . . [Full Text of this Article]

What Is the Diagnosis?

Author Affiliations: Department of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.

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