1. A.M. Retroperitoneal mass Samer Michael

2. Patient presentation Work up Management Results

3. Admission 29/12/13 61 years Occupation- Butcher No PMH RUQ abdominal pain, anemia and Weight loss No other complaints

4. Ambulatory Work-up Right flank pain  Ultrasound Weight-loss and Anemia  Gastroscopy  Colonoscopy  CT-colono

5. On Admission Vital signs- Normal Physical exam- Mild RUQ tenderness

6. Laboratory

7. Imaging

9. Chest and Abdominal X-Ray Ambulatory CT  Retroperitoneal mass Patient admitted for further work-up

10. Work-up Laboratory Gastorscopy Colonoscopy

11. Surgery 16/1/14 Diagnostic Laparoscopy  Exploratory Laparotomy Frozen section- Angiomyolipoma

12. Post-OP Neutropenia Drug related (Optalgin) Resolved

13. Pathology

14. Discussion