Jonathan W. McClain, MD, Allison Nixdorf-Miller and Jeffrey A. Stead, M.D.
A 46-year-old white male was seen in surgery clinic with the complaint of inguinal hernia. On physical examination the patient was found to have a large abdominal mass in his right upper quadrant. CT scan and MRI confirmed the presence of a large mass in his right upper quadrant. The patient denied any complaints or any symptoms at that time. A decision was made to take the patient to the operating room for an exploratory laparotomy and possible excision of the mass and repair of his inguinal hernia.