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  Vol. 144 No. 8, August 2009 TABLE OF CONTENTS
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Image of the Month—Quiz Case

Lisa M. Coughlin, MD; Zubair A. Hashmi, MD; Robert J. Marx, DO

Arch Surg. 2009;144(8):785.

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 36-year-old woman was seen with a large abdominal cystic mass in the left upper quadrant. During a cesarean section in 2001, the mass had been evaluated and drained; she was told that it was adherent to all adjacent structures and was nonresectable. Although the mass had been identified during her pregnancy 7 years before this presentation, her abdomen had recently become painful to touch while she was at work. Her medical and surgical histories are significant only for lupus erythematosus, hypertension, 2 cesarean sections, and a tubal ligation. She denied any food intolerance or recent trauma. She has a 30 pack-year smoking history and drinks 2 to 3 alcoholic beverages weekly. She has a remote history of spousal abuse.

Computed tomography of the abdomen demonstrated a 15 x 14 x 12-cm mass, predominantly cystic, in the left . . . [Full Text of this Article]

What Is the Diagnosis?

Author Affiliations: Department of General Surgery, Forum Health/Western Reserve Care System, Northside Medical Center, Youngstown, Ohio.



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RELATED ARTICLE

Image of the Month—Diagnosis
Arch Surg. 2009;144(8):786.
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