Crohn's disease. Supra-pubic pelvic pain with palpabale mass. Rule out abscess.
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There is a large heterogeneously enhancing abdominal mass, mainly in the pelvis, measuring 15 cm CC x 9.6 cm T x 8.5 cm AP. It comes in contact with the uterus. The ovaries are difficult to distinguish from this mass. The bowel and appendix are not in contact. Its superior portion is less well defined and seems to infiltrate the mesentery. There is no adenopathy. Very small quantity of ascites.
There is right hydronephrosis from compressive obstruction of the right ureter.
Pathology proven desmoid tumour.