A 45-year-old woman presented with a 3-day history of vomiting and generalized abdominal pain. Physical examination showed an afebrile and stable patient in moderate distress with mild diffuse abdominal tenderness, absent peritoneal signs, and a discrete intra-abdominal mass. Laboratory findings and medical and surgical history were unremarkable. Abdominal computed tomography was performed (Figure 1 and Figure 2).
Computed tomographic scan of the abdomen.
A. Pancreatic cystic neoplasm
B. Polycystic liver disease
C. Cystic lymphangioma
D. Bile duct cyst
Duthler RJ, Fisichella PM. Image of the Month—Quiz Case. Arch Surg. 2005;140(7):705. doi:10.1001/archsurg.140.7.705