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Left Abdominal Mass. What could it be?
Vol. 14 No. 1 : 2019
Quiz
HAYATI F, AZIZAN N, CHONG TH, NIK AMIN S, ZAINAL ABIDIN ZA






Abstrak

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Abstract

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QUESTION

 A healthy 63-year-old male, presented to the Emergency Department with a complaint of left lumbar colicky pain for 4 days. It was associated with no bowel output for 3 days and abdominal distension for 2 days. He otherwise denied vomiting, fever, and constitutional symptoms. He has never experienced these symptoms before. Clinically, he was pink and not cachexic. He was tachycardic with a heart rate of 105 beats per minute. His abdomen was grossly distended and tender at left lumber region. Left kidney was slightly ballotable but limited due to pain. Biochemically, his renal function was deranged with a creatinine of 157.8 mol/L (eGFR of 41 ml/min/1.73m2). He had a total white cell count of 24 x 103/μL. Microscopic examination of the urine showed 5+ erythrocyte. Spot the radiological diagnosis and provide a brief management.

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