A mesothelial-lined cyst: an unusual presentation.
A 12-year-old girl presented with a "threadlike fiber" in her underwear associated with lower abdominal pain. She denied insertion of any foreign body, and at examination under anesthetic, a threadlike substance was seen exiting her external cervical os. Her only medical history was of an open appendicectomy for perforated appendicitis. Subsequent pathologic examination showed a collapsed mesothelial cyst, and laparoscopy showed a cyst and inflammatory changes consistent with previous appendicectomy surrounding her right ovary. We review the possible causes for this most unusual presentation.
Steven
Mairi J
MJ
Department of Surgical Pediatrics, Royal Hospital for Sick Children, Glasgow, Scotland. mairisteven@doctors.org.uk
Howatson
Alan
A
Hanretty
Kevin
K
Sabharwal
Atul
A
D015746:Abdominal Pain / Q000209:etiology; D001062:Appendectomy; D001956:Broad Ligament / Q000196:embryology; D002648:Child; D003560:Cysts / Q000150:complications / Q000175:diagnosis* / Q000196:embryology / Q000473:pathology / Q000601:surgery; D004848:Epithelium / Q000473:pathology*; D005187:Fallopian Tubes / Q000196:embryology; D005260:Female; D005831:Genital Diseases, Female / Q000150:complications / Q000175:diagnosis* / Q000196:embryology / Q000473:pathology / Q000601:surgery; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects; D011183:Postoperative Complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D012421:Rupture / Q000209:etiology; D014928:Wolffian Ducts / Q000196:embryology