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Randall J. Duthler, BS; P. Marco Fisichella, MD
Author Affiliations: Department of Surgery, University of Illinois at Chicago.

Arch Surg. 2005;140:705.

INTRODUCTION
A 45-year-old woman presented with a 3-day history of vomiting and generalized abdominal pain. Physical examination showed an afebrile and stable patient in moderate distress with mild diffuse abdominal tenderness, absent peritoneal signs, and a discrete intra-abdominal mass. Laboratory findings and medical and surgical history were unremarkable. Abdominal computed tomography was performed (Figure 1 and Figure 2).

View larger version (53K): [in this window] [in a new window] Figure 1. Computed tomographic scan of the abdomen.

View larger version (39K): [in this window] [in a new window] Figure 2. Computed tomographic scan of the abdomen.

What Is the Diagnosis?

Jump to Section  • Top  • Introduction  • What is the diagnosis?

A. Pancreatic cystic neoplasm

B. Polycystic liver disease

C. Cystic lymphangioma

D. Bile duct cyst

Answer

SECTION EDITOR: GRACE S. ROZYCKI, MD

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Arch Surg. 2005;140(7):706.
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