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Image of the Month—Quiz Case
Keith Towsey, MBBS;
David Lisle, MBBS, FRACR;
Andreas L. Lambrianides, BSci, FRACS
Arch Surg. 2008;143(4):421.
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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 64-year-old woman presented with nonspecific lower abdominal pain and abdominal distention. She had previously undergone an extended right hemicolectomy for a moderated differentiated colonic adenocarcinoma with no lymph node involvement and clear margins.
Investigations noted mildly deranged transaminases, a raised carcinoembryonic antigen level (330 000 ng/mL [to convert to µg/L, multiply by 1.0]), and normal cancer antigen 19.9 and cancer antigen 125 levels. Colonoscopy results were normal. Computerized tomography demonstrated a multiloculated cystic mass rising from the central pelvis. This extended upwards into the lower abdomen. The mass showed multiple cysts of varying size seen as regions of low attenuation with the soft-tissue components (seen as irregular material of high attenuation between the cysts) (Figure 1).
Figure appears in full text version.
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Figure 1. Preoperative computed tomographic scan demonstrating a large cystic mass.
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The patient underwent a laparotomy, and a 1765-g mass . . . [Full Text of this Article]
What Is the Diagnosis?
Author Affiliations: Redcliffe Hospital, Redcliffe, Australia.
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Image of the Month—Diagnosis
Arch Surg. 2008;143(4):422.
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