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.
Department of Surgical Pediatrics, Royal Hospital for Sick Children, Glasgow, Scotland. mairisteven@doctors.org.uk
Mairi J
MJ
Steven
Alan
A
Howatson
Kevin
K
Hanretty
Atul
A
Sabharwal
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