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OpenAthens Shibboleth
Special Feature
December 2002

Image of the Month

Author Affiliations

GRACE S.ROZYCKIMDFrom the Michael E. DeBakey Department of Surgery, Baylor College of Medicine, and Ben Taub General Hospital, Houston, Tex.


Copyright 2002 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2002

Arch Surg. 2002;137(12):1443. doi:

A 34-YEAR-OLD woman was seen in the emergency department with a 3-day history of abdominal pain associated with nausea and vomiting. The patient reported decreased appetite and weight loss over the previous 6 months. She was afebrile and in no apparent distress. On abdominal examination, a large mass was palpated in the epigastrium and the right upper quadrant. A computed tomographic examination of the abdomen was obtained (Figure 1).

What Is the Diagnosis?

A.Ménétrier disease

B.Gastrointestinal stromal tumor

C.Rapunzel syndrome