- Email: [email protected]
Quiz Page August 2006
AJKD
QUIZ PAGE AUGUST 2006
A 73-year-old woman presented with abdominal distension, fever, confusion, and acute renal failure. She had diabetes with a baseline serum creatinine level of 0.7 mg/dL (62 mol/L). Examination revealed a pelvic mass up to the level of the umbilicus. One day later, her serum creatinine was 3.1 mg/dL (274 mol/L). An ultrasound of the pelvis (Fig 54A) and an abdominal x-ray (Fig 54B) were obtained.
Figure 54A. What do you observe on this ultrasound scan of the pelvis?
Figure 54B. What abnormality do you see on this abdominal film, and what is your diagnosis?
What further investigation is mandatory? For the answers, go to www.ajkd.org
Case provided by Sydney C.W. Tang, MD, Ferdinand S.K. Chu, FRCR, Wai Ming Au, MRCP, and Kar Neng Lai, MD, DSc, Department of Medicine, University of Hong Kong, Queen Mary Hospital, and Department of Diagnostic Radiology, Queen Mary Hospital, Hong Kong.
If you have an interesting case you would like to submit for consideration, please go to http://ajkd.edmgr.com to do so. Originally published online as doi:10.1053/j.ajkd.2005.11.035 on July 3, 2006. © 2006 by the National Kidney Foundation, Inc. doi:10.1053/j.ajkd.2005.11.035
American Journal of Kidney Diseases, Vol 48, No 2 (August), 2006: p xxix
xxix
QUIZ PAGE AUGUST 2006
A 73-year-old woman presented with abdominal distension, fever, confusion, and acute renal failure. She had diabetes with a baseline serum creatinine level of 0.7 mg/dL (62 mol/L). Examination revealed a pelvic mass up to the level of the umbilicus. One day later, her serum creatinine was 3.1 mg/dL (274 mol/L). An ultrasound of the pelvis (Fig 54A) and an abdominal x-ray (Fig 54B) were obtained.
Figure 54A. What do you observe on this ultrasound scan of the pelvis?
Figure 54B. What abnormality do you see on this abdominal film, and what is your diagnosis?
What further investigation is mandatory? For the answers, go to www.ajkd.org
Case provided by Sydney C.W. Tang, MD, Ferdinand S.K. Chu, FRCR, Wai Ming Au, MRCP, and Kar Neng Lai, MD, DSc, Department of Medicine, University of Hong Kong, Queen Mary Hospital, and Department of Diagnostic Radiology, Queen Mary Hospital, Hong Kong.
If you have an interesting case you would like to submit for consideration, please go to http://ajkd.edmgr.com to do so. Originally published online as doi:10.1053/j.ajkd.2005.11.035 on July 3, 2006. © 2006 by the National Kidney Foundation, Inc. doi:10.1053/j.ajkd.2005.11.035
American Journal of Kidney Diseases, Vol 48, No 2 (August), 2006: p xxix
xxix