Abstract

A 45-year-old man with no past medical history presented with lower right abdominal pain of 1 day's duration associated with mild nausea and low-grade fever (37.5°C). At physical examination rebound tenderness was observed in the right lower abdomen. White blood cell count was slightly elevated (10,500/mm3). CT scan showed a 13cm wide hypodense mass, with peripheral nodular enhancement followed by progressive centripetal enhancement, that occupied most of the right peritoneal cavity and was connected to the liver by a vascularized peduncule (Fig.

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