 |
|
Image of the Month—Quiz Case
Todd R. Vogel, MD;
Jeffrey S. Hammond, MD;
Roderich E. Schwarz, MD, PhD
Author Affiliations: Department of Surgery, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick.
Arch Surg. 2005;140:411.
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
INTRODUCTION
An 18-year-old male college student came to the emergency department with a history of diffuse abdominal pain, diarrhea, and fevers for 2 days. He had not noticed a change in eating habits, abdominal girth, or weight. On examination, vital signs were within normal limits; a firm, nontender mass of 20 cm in diameter was palpated in the left upper abdomen. Aside from a white blood cell count of 13 000/µL, all other hematologic or chemistry laboratory parameters were normal.
Abdominal radiographs showed a normal gas pattern with shifting of the small intestine to the right, combined with a lucency of the left upper quadrant. Abdominal computed tomography demonstrated a multicystic septated retroperitoneal mass primarily involving the small bowel mesentery, with compression of the distal duodenum (Figure 1A, black arrows). There was displacement of the superior mesenteric . . . [Full Text of this Article]
What Is the Diagnosis?
RELATED ARTICLE
Image of the Month—Diagnosis
Arch Surg. 2005;140(4):412.
EXTRACT
| FULL TEXT
|
