Description

A middle-aged man presented with increased abdominal girth over 6–9 months, associated with pain in the right upper quadrant and flanks. History was significant for a non-seminomatous testicular cancer in his teens with left orchiectomy, aortic node dissection and 1 week of chemotherapy. On examination, the abdomen was grossly distended and non-tender, with positive fluid wave and dullness to percussion. At an outside facility, laboratory values were …