A 46-Year-Old Woman Being Evaluated for Irregular Vaginal Bleeding Is

A 46-year-old woman being evaluated for irregular vaginal bleeding is found to have invasive cervical carcinoma.  She undergoes total abdominal hysterectomy and bilateral salpingo-oophorectomy.  Pelvic lymphadenectomy was also performed, during which several enlarged nodes around the pelvic vessels were resected.  A week after the surgery, the patient begins to experience left-sided flank pain that radiates to the groin.  Her temperature is 36.1 C (97 F) , blood pressure is 120/70 mm Hg, and pulse is 84/min.  On physical examination, there is a ballotable left flank mass.  Which of the following most likely accounts for this physical examination finding?

A) Hydronephrosis
B) Interstitial nephritis
C) Renal cell carcinoma
D) Renal cystic disease
E) Renal vein thrombosis
F) Vesicoureteral reflux

Correct Answer:

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