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Image of the month: anterior abdominal mass after hysterectomy

M Vix, MD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Mar 2013;13(03). URL: http://websurg.com/doi/vd01en3909

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  • 2013-03-11
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This video demonstrates the case of a woman presenting with a mass appended to the anterior abdominal wall. In the patient’s surgical history, a hysterectomy performed a few years earlier can be noted. The operative report of that intervention is not available. Laparoscopy is therefore decided upon. The first impression is that of an ovarian lesion appended to the anterior abdominal wall. Consequently, an appendicular lesion must be ruled out. The appendix is therefore searched for and dissected. It remains distal from the mass and its pedicle. The presence of a tubular structure in the mass’s pedicle mandates the identification of the right ureter, which also remains distally. From then onwards, resection of the mass does not pose any particular problem. The pathological finding confirms the nature of the mass, namely a benign ovarian cystadenoma.