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Image of the Month—Quiz Case
Dursun Ali Sahin, MD;
Gokhan Akbulut, MD;
Figen Kir Sahin, MD;
Fatma Aktepe, MD;
Osman Nuri Dilek, MD
Author Affiliations: Departments of General Surgery (Drs D. A. Sahin, Akbulut, and Dilek), Gynecology and Obstetrics (Dr F. K. Sahin), and Pathology (Dr Aktepe), School of Medicine, Afyon Kocatepe University, Afyon, Turkey.
Arch Surg. 2006;141:709.
INTRODUCTION
A 49-year-old woman had abdominal pain and nausea. She had a history of type 2 diabetes mellitus. Her biochemical laboratory findings were normal. On the abdominopelvic ultrasonographic scan, a 5 x 5-cm mass that was regular in shape was found at the left paraovarian region, and gynecologic consultation was warranted. The patient was referred to the general surgery department because a well-circumscribed 5 x 5-cm solid mass just below the umbilicus was found on the abdominopelvic computed tomographic scan (Figure 1). At surgical exploration, a solid and noninvasive mobile mass with the described enlargement was found on the ultrasonographic and computed tomographic scans; it originated at the antimesenteric jejunal wall and was far from the ligament of Treitz at 100 cm distally (Figure 2).
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Figure 1. A well-circumscribed 5 x 5-cm solid mass just below the umbilicus on an abdominopelvic computed tomographic scan.
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Figure 2. Laparoscopic resection using an endoscopic gastrointestinal anastomosis stapler.
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What Is the Diagnosis?
A. Mesenteric cyst
B. Complicated Meckel diverticulitis
C. Jejunal stromal tumor
D. Jejunal carcinoid tumor
Answer
SECTION EDITOR: GRACE S. ROZYCKI, MD
RELATED ARTICLE
Image of the Month—Diagnosis
Arch Surg. 2006;141(7):710.
EXTRACT
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