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  Vol. 144 No. 2, February 2009 TABLE OF CONTENTS
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Image of the Month—Quiz Case

Emad Kandil, MD; Kurtis Campbell, MD; Anthony Tufaro, MD, DDS

Arch Surg. 2009;144(2):191.

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 24-year-old man was referred for evaluation and management of a large left abdominal wall mass. He had no other medical problems, no history of previous surgical procedures, and no previous abdominal wall trauma. The patient had a small spot on his abdominal wall at birth that had gradually increased; in the last year, the spot exhibited a significant increase, and the patient became alarmed when he started to experience chronic abdominal pain, constant constipation, and dysuria. A fine needle aspiration biopsy of the mass revealed evidence of small blood vessel proliferation in both the dermis and the subdermal adipose tissue. On examination there was a visible, palpable, nontender, 10 x 15-cm abdominal wall mass, with bluish skin discoloration.

Abdominal computed tomography revealed evidence of a 10.3 x 15-cm vascular heterogeneous mass centered at the level of the left rectus . . . [Full Text of this Article]

What Is the Diagnosis?

Author Affiliation: Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland. Dr Kandil is now with the Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana.



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RELATED ARTICLE

Image of the Month—Diagnosis
Arch Surg. 2009;144(2):192.
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