Clinical Images  |   August 2018
Unusual Cause of “Constipation”
Author Notes
  • From the Rowan University School of Osteopathic Medicine and the Department of Emergency Medicine at Jefferson Health in Stratford, New Jersey. Dr Lee is a second-year resident. 
  • Financial Disclosures: None reported. 
  • Support: None reported. 
  •  *Address correspondence to James Lee, DO, Department of Emergency Medicine, Rowan University, 18 E Laurel Rd, Stratford, NJ 08084-1350. Email: jjlee@atsu.edu
     
Article Information
Emergency Medicine / Endocrinology / Imaging / Obstetrics and Gynecology / Clinical Images
Clinical Images   |   August 2018
Unusual Cause of “Constipation”
The Journal of the American Osteopathic Association, August 2018, Vol. 118, 561. doi:10.7556/jaoa.2018.128
The Journal of the American Osteopathic Association, August 2018, Vol. 118, 561. doi:10.7556/jaoa.2018.128
A 60-year-old woman with no known medical history presented to the emergency department with 5 days of constipation and lower abdominal cramping. She reported nausea and 1 episode of nonbloody, nonbilious emesis, along with a 50-lb weight loss, which she attributed to lifestyle changes. Physical examination revealed suprapubic tenderness, right abdominal distension, and mild lower extremity edema. Computed tomographic findings (images A and B) revealed a large cystic mass arising from the pelvis and extending into the abdomen, with multiple septations. The patient underwent resection of 2 separate masses. Pathologic testing identified a benign ovarian cystadenoma. On follow-up, the patient's symptoms had resolved. 

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