72-year-old Woman with Cystic Mass

Byline: Alan A. Thomay, MD; Matthew T. Then, MD; and Jeffrey M. Farma, MD

Chief Complaint

H.G., a 72-year-old obese woman, presents with a 6-month history of infrequent upper abdominal pain and nausea, along with non-specific gastrointestinal symptoms.

Relevant Medical History

• Hypertension
• Four uncomplicated vaginal deliveries (G4P4)
• Appendectomy

Physical Exam

• A central, nodular mass that is fixed to the anterior abdominal wall is palpable, ...