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JAMA Surgery Clinical Challenge
April 2015

A Man in His 50s With a Giant Abdominal Mass

Author Affiliations
  • 1Division of Solid Organ Transplantation and Hepatobiliary Surgery, Department of Surgery, University of Rochester Medical Center, Rochester, New York
JAMA Surg. 2015;150(4):363-364. doi:10.1001/jamasurg.2014.871

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).

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