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JAMA Surgery Clinical Challenge
November 2013

Abdominal Distension in a Middle-Aged Woman

Author Affiliations
  • 1Department of General Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania
  • 2Division of Vascular and Endovascular Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania
JAMA Surg. 2013;148(11):1073-1074. doi:10.1001/jamasurg.2013.315

A white woman in her late 40s presented to her primary care physician for her routine annual checkup and was noted to have abdominal distention. The patient had been experiencing early satiety and heat intolerance. Physical examination was significant for orthostatic hypotension and an immobile, nontender abdominal mass. An abdominal computed tomographic scan was obtained (Figure, A). Based on these findings, the patient underwent surgical resection (Figure, B).

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