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Tamer Akca, MD; Koray Ocal, MD; Ozgur Turkmenoglu, MD; Oner Bilgin, MD; Suha Aydin, MD
Author Affiliations: General Surgery Department, Mersin University Medical Faculty, Mersin, Turkey.

Arch Surg. 2006;141:943.

	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 57-year-old man was referred to our department from the state hospital with nausea and vomiting. He also had a lack of appetite and had lost weight (7 kg) during the previous 75 days. He had no abdominal pain, but his feces were small and spherical, and he could only defecate every other day. He had no medical or surgical treatment history.

Muscular defense or rebound tenderness was not determined on physical examination of the abdomen. However, a painless, 10 x 10-cm-diameter mass with a smooth surface was palpated from the periumbilical region and right lower quadrant to the suprapubic region. Auscultation of the intestines and digital rectal examination results were normal. His arterial blood pressure was 110/80 mm Hg and his pulse was 67 beats/min. His erythrocyte sedimentation rate was 12 mm/h (reference range, . . . [Full Text of this Article]

What Is the Diagnosis?



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Arch Surg. 2006;141(9):944.
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