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Special Feature
July 01, 2005

Image of the Month—Quiz Case

Author Affiliations

Author Affiliations: Department of Surgery, University of Illinois at Chicago.

Arch Surg. 2005;140(7):705. doi:10.1001/archsurg.140.7.705

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).

Figure 1.
Computed tomographic scan of the abdomen.

Computed tomographic scan of the abdomen.

Figure 2.
Computed tomographic scan of the abdomen.

Computed tomographic scan of the abdomen.

What Is the Diagnosis?

A. Pancreatic cystic neoplasm

B. Polycystic liver disease

C. Cystic lymphangioma

D. Bile duct cyst

Answer

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