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JAMA Surgery Clinical Challenge
July 2015

Incidentally Discovered Intraperitoneal Masses

Author Affiliations
  • 1Department of Surgery, Michigan State University, College of Human Medicine, East Lansing
JAMA Surg. 2015;150(7):677-678. doi:10.1001/jamasurg.2015.0260

A 20-year-old otherwise healthy woman presented to the emergency department after a motor vehicle crash in which computed tomographic images of the abdomen were obtained as part of the trauma evaluation. Small free fluid within the pelvis and 2 large mesenteric masses were discovered adjacent to the liver, pancreas, and stomach (Figure 1). An endoscopic ultrasound-guided fine-needle aspiration of the abdominal mass was obtained and the diagnosis was made. The patient underwent exploratory laparotomy and en-bloc resection of the intraperitoneal tumors.

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