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A 78 year-old female presented with several weeks of abdominal pain. Physical examination
demonstrated a distended, tender, and hypertympanic abdomen. Abdominal X-Rays demonstrated
multiple air-fluid levels in the small bowel, a decompressed colon, and a 5 cm calcified mass in the
pelvis. Laparotomy was undertaken for a diagnosis of small bowel obstruction. The mass was
removed and found to be heavily calcified. What disease did the patient have, decades earlier, that
resulted in this finding?
a) Gallstone ileus
b) Dermoid cyst
c) Ectopic pregnancy
d) Ingested foreign body
Respond in the comments. Answer will be post in 24 hours.
demonstrated a distended, tender, and hypertympanic abdomen. Abdominal X-Rays demonstrated
multiple air-fluid levels in the small bowel, a decompressed colon, and a 5 cm calcified mass in the
pelvis. Laparotomy was undertaken for a diagnosis of small bowel obstruction. The mass was
removed and found to be heavily calcified. What disease did the patient have, decades earlier, that
resulted in this finding?
a) Gallstone ileus
b) Dermoid cyst
c) Ectopic pregnancy
d) Ingested foreign body
Respond in the comments. Answer will be post in 24 hours.
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