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A 55-year-old man presented with a five-month history of increasing abdominal girth, a weight loss of 4.5 kg (10 lb), and occasional episodes of anorexia and nausea. Physical examination revealed possible hepatosplenomegaly as well as a distended abdomen, which was soft, nontender, and dull to percussion. The results of liver-function tests were normal; a serologic test for hepatitis was negative, and the serum level of alpha-fetoprotein was normal. An abdominal plain film, an upper gastrointestinal series, and the results of a barium-enema study were also normal. A computed tomographic (CT) scan of the abdomen, however, revealed multiple, septate, low-attenuation masses . . . [Full Text of this Article] |
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