Clinical images. Atypical midcycle pain.
A 16-year-old female presented with acute-onset abdominal pain and an initial diagnosis of midcycle pain. Subsequent pelvic ultrasound and diagnostic laparoscopy showed a large mass in the pouch of Douglas. The patient underwent a laparotomy and excision of a mass from a loop of jejunum. This case highlights the difficulties in diagnostic differentiation relating to large pelvic masses in young females.
Alsinnawi
Mazen
M
Department of Surgery, Mid-Western Regional Hospital, Limerick, Ireland. alsinnawi@yahoo.co.uk
Fleming
Fergal J
FJ
Kenny
Bryan J
BJ
Waldron
David
D
D015746:Abdominal Pain / Q000209:etiology; D000293:Adolescent; D005260:Female; D006801:Humans; D007580:Jejunal Neoplasms / Q000175:diagnosis* / Q000601:surgery; D007889:Leiomyoma / Q000175:diagnosis* / Q000601:surgery; D010060:Ovulation