Abstract
Apreviously healthy 37-year-old woman complained of episodic right upper abdominal pain. An extensive clinical workup had been negative, including physical examination, upper endoscopy, complete blood count, comprehensive metabolic panel, and coagulation studies. Contrast-enhanced computed tomography (CT) of the abdomen and pelvis demonstrated a solitary mass adjacent to the gastric antrum (Fig. 1). The mass had a lobulated contour with interdigitation of its parenchyma with the surrounding mesenteric fat along the inferior border. The mass did not appear to obstruct the gastric outlet, and there were no adjacent inflammatory changes. An ultrasound-guided percutaneous core needle biopsy was subsequently performed (not shown). The patient initially tolerated the procedure well and was discharged home. However, during the week following the biopsy, she developed acute right upper quadrant abdominal pain and presented to the emergency department. In the emergency department, she was found to be febrile (101.61F), with elevated white blood cell count (16,000 mm
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