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Image of the Month—Quiz Case
Austin L. Spitzer, MD;
Rita A. Mukhtar, BA;
Hobart W. Harris, MD, MPH
Author Affiliations: Department of Surgery, University of California, San Francisco (Drs Spitzer, Mukhtar, and Harris); Department of Surgery, University of California, East Bay, Oakland (Dr Spitzer).
Arch Surg. 2005;140:1005.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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INTRODUCTION
A 32-year-old man was seen in the emergency department after an episode of severe abdominal pain associated with bloating, nausea, and vomiting. The patient reported having no stool or gas for 1 week. He complained of intermittent abdominal pain over the previous 2 to 3 years but denied having any medical or surgical history, including pancreatitis. He did not recall sustaining any injuries.
On examination, his abdomen was mildly distended and he complained of moderate epigastric discomfort. His laboratory results were remarkable for dehydration. A computed tomographic scan was obtained (Figure 1). The patient subsequently underwent exploratory laparotomy after resuscitation without bowel preparation, given his proximal obstruction. The gross pathological specimen is shown in Figure 2.
Figure appears in full text version.
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Figure 1. Computed tomographic scan of the abdomen with oral and intravenous contrast demonstrating a cystic mass associated . . . [Full Text of this Article]
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What Is the Diagnosis?
RELATED ARTICLE
Image of the Month—Diagnosis
Arch Surg. 2005;140(10):1006.
EXTRACT
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