A 13 year old boy presented with an abdominal mass in his
right abdomen. The father stated that it
had been there for many years and was getting bigger. On ultrasound it was seen to be a cystic mass
with some dense material inside. I took
him to surgery and found an easily resectable cystic mass. The appendix was closely adhered to the mass
so I did an appendectomy. On exam after
the case the appendix did not seem to communicate with the cyst itself and was
distinct from the mass. I sent a piece of
the wall for pathology and it just returned a non-distinct inflammatory
process. The boy is healing well and
will be going home today.
 |
| Ultrasound of mass |
 |
| Resecting the mass |
The mass with the appendix associated (the S shaped structure on the top of the mass)
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