Young Woman With Abdominal Pain Jacob A. Lebin, MD, Joel A. Gross, MD, Susan A. Stern, MD  Annals of Emergency Medicine  Volume 72, Issue 1, (July 2018) DOI: 10.1016/j.annemergmed.2018.01.017 Copyright © 2018 American College of Emergency Physicians Terms and Conditions

Figure 1 CT (coronal view) demonstrating a pelvic and abdominal mass (between arrowheads). The mass extends almost to the liver and may be mistaken for hepatomegaly on physical examination. Annals of Emergency Medicine 2018 72, DOI: (10.1016/j.annemergmed.2018.01.017) Copyright © 2018 American College of Emergency Physicians Terms and Conditions

Figure 2 CT (axial view) demonstrating soft tissue, bone, and fat-density elements within the superior multiloculated mass (between arrowheads). Annals of Emergency Medicine 2018 72, DOI: (10.1016/j.annemergmed.2018.01.017) Copyright © 2018 American College of Emergency Physicians Terms and Conditions

Figure 3 CT (axial view) demonstrating soft tissue, bone, and fat-density elements within the inferior multiloculated mass, between the rectum (black arrow) and vagina (white arrow). Annals of Emergency Medicine 2018 72, DOI: (10.1016/j.annemergmed.2018.01.017) Copyright © 2018 American College of Emergency Physicians Terms and Conditions

Figure 4 Gross appearance of the right-sided mass after resection. Annals of Emergency Medicine 2018 72, DOI: (10.1016/j.annemergmed.2018.01.017) Copyright © 2018 American College of Emergency Physicians Terms and Conditions