A 40-Year-Old Nulligravida Woman Comes to the Office with a 2-Month

A 40-year-old nulligravida woman comes to the office with a 2-month history of worsening right pelvic pain.  She experiences the pain daily, and its intensity does not vary during her menstrual cycle.  In addition, the patient's waist size has increased despite a decreased appetite.  Pelvic examination shows an irregularly shaped, fixed adnexal mass.  One week later, she undergoes surgery to remove a large ovarian neoplasm.  Within the true pelvis, the surgeon can most likely palpate the right ureter immediately anterior to which of the following structures?

A) Gonadal vein
B) Inferior vena cava
C) Internal iliac artery
D) Round ligament
E) Uterine artery

Correct Answer:

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