Abstract

A 76 years old Chinese gentleman with a known case of hypertension, IHD and BPH. Presented to casualty with complaint of abdominal distention and pain over the lower quadrant for past 5 months. Patient also had symptoms of lower urinary symptoms such as nocturia, urgency, hesistancy, straining. On physical examination patient was pink, comfortable. His blood pressure was 146/79 mmHg with tachycardia 96/min. Per abdomen was distended with a vague mass over the right lower quadrant measuring 15cmx15cm, non tender, non pulsating. Digital rectal examination prostate was enlarged with median sulcus obliterated. No nodule or mass palpable. We proceeded with abdominal X-ray shows the bowel pushed upwards. Our initial diagnosis was intra abdominal mass for further investigation. Differential diagnosis was mesenteric cyst, lymphoma, GIST, retroperitoneal soft tissue tumor.