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JAMA Surgery Clinical Challenge
August 2016

A Man With a Giant Retroperitoneal Mass

Author Affiliations
  • 1Department of Surgery, College of Human Medicine, Michigan State University, East Lansing
JAMA Surg. 2016;151(8):775-776. doi:10.1001/jamasurg.2016.0268

A man aged 54 years, who had not seen a physician for nearly 10 years, presented to the emergency department with a 1-month history of generalized weakness and bilateral lower extremity swelling that had progressed to his upper abdomen. Physical examination revealed at least 4 lower extremity edemas and an abdomen that was large, taut, and distended (Figure 1A). A computed tomographic scan of the chest, abdomen, and pelvis was obtained (Figure 1B).

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