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#27

Figure it out fridays 

FIOF 04-12.jpg
FIOF 04-12 2.jpg

22 year-old woman was admitted to the ED with 3 day history of abdominal pain. No history of bowel or urinary symptoms, no surgical history. Examination revealed palpable hypogastric mass, diffused abdominal tenderness and guarding. Hb 9 g/dl. CT scan a non homogenous mass in the pelvis, bowel loops in the left upper quadrant. Laparotomy was performed.

What is the most probable diagnosis?

A. Appendicular abscess

B. Wandering spleen

C. Ectopic pregnancy

D. Pelvic kidney

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