A man in his 50s who previously underwent renal transplantation for polycystic kidney disease presented with worsening chronic malaise, fatigue, dyspnea, early satiety, and abdominal distention with extreme discomfort. An abdominal magnetic resonance image is shown in Figure 1A. Given the symptoms and magnetic resonance imaging findings, the patient was eventually taken to the operating room. Laparotomy exposed a giant multinodular mass (Figure 1B).
Tchantchaleishvili V, Kashyap R, Orloff MS. A Man in His 50s With a Giant Abdominal Mass. JAMA Surg. 2015;150(4):363-364. doi:10.1001/jamasurg.2014.871