EDITOR'S QUIZ: GI SNAPSHOT
A huge intra-abdominal mass in a young man
1 Department of Gastroenterology, Faculty of Medicine, University of Tokyo, Japan
2 Department of Radiology, Faculty of Medicine, University of Tokyo, Japan
3 Department of Surgery, Faculty of Medicine, University of Tokyo, Japan
Correspondence to:
Correspondence to:
Takeshi Tsujino
Department of Gastroenterology, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan; tsujinot-int@h.u-tokyo.ac.jp
| The first 150 words of the full text of this article appear below. |
A 19-year-old man presented to our department because of a 3-year history of left upper abdominal distention. He had no notable past medical history such as abdominal trauma or pancreatitis. On physical examination, a huge elastic hard mass was palpable in the left abdomen, but he did not complain of tenderness. Laboratory data on admission were unremarkable, including normal values for white blood cell count, C-reactive protein, pancreatic enzymes (pancreatic amylase and lipase) and tumour markers (CEA and CA19-9). IV contrast-enhanced abdominal computed tomography showed a cystic lesion 21 cm in diameter located mainly in the left upper abdomen (fig 1
, 2). A well-enhanced crescent-shaped structure was also noted adjacent to the cyst (fig 1). Endoscopic retrograde pancreatography revealed no abnormal findings apart from leakage of contrast medium into a cystic lesion at the tail of the pancreas (fig 3).
Figure 1 Computed tomography scan on admission (axial | |||||||||
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
Relevant Article
-
EDITOR’S QUIZ: GI SNAPSHOT
Gut 2007 56: 1393.[Extract] [Full Text] [PDF]
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
