A 61-year-old man presented with a 6-month history of left lower quadrant fullness. There was a left lower quadrant mass on physical examination. Note the absence of bowel gas in the left lower quadrant on abdominal flat plate.
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CT scan showed a large left lower quadrant mass appearing to arise from the iliopsoas muscle and encasing the left femoral nerve. There was no neurologic abnormality on exam.
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