Volume 202 - Issue 6
An incidentaloma not to be missed
Authors: Michael Braude and Peter Choong
Med J Aust 2015; 202 (6): 308. || doi: 10.5694/mja15.00221
Published online: 6 April 2015
Published online: 6 April 2015
Suspected ascites turns out to be an enormous cystic mass
A frail 92-year-old woman presented with pelvic and femoral fragility fractures after a fall. She had synchronous gross abdominal distension which was diagnosed as ascites. Computed tomography was requested to exclude malignancy before performing paracentesis.
Formal imaging showed a large intraperitoneal structure. The 4-Hounsfield unit attenuation was consistent with simple fluid. However, identification of septations, together with rim enhancement, led to a revised diagnosis of a cystic mass. The lesion measured 24 cm × 28 cm × 33 cm and, at an estimated volume of 16 L, displaced most of the abdominal and pelvic viscera. Fortunately, this was recognised before paracentesis.
Competing interests
No relevant disclosures
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