A ruptured infected mesenteric cyst diagnosed on laparoscopy for suspected appendicitis.
Lower abdominal pain of acute onset in young women with a negative pregnancy test is a frequent reason for referral to the general surgical team and the differential diagnoses include acute appendicitis, complicated ovarian cysts and pelvic inflammatory disease. Intestinal and mesenteric cystic disease is a rare entity and less than half of cases present acutely. We present a case of a 25-year-old woman who underwent diagnostic laparoscopy for acute lower abdominal pain and was diagnosed with a ruptured, infected mesenteric cyst.
Department of Colorectal Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham B15 2TH, UK (Ward ST).
Stephen T
ST
Ward
Department of Surgery, Worcestershire Royal Hospital, Charles Hastings Way, Worcester WR5 1DD, UK (Singh B, Jones TJ, Robertson CS).
Baljinder
B
Singh
Department of Surgery, Worcestershire Royal Hospital, Charles Hastings Way, Worcester WR5 1DD, UK (Singh B, Jones TJ, Robertson CS).
Terence J
TJ
Jones
Department of Surgery, Worcestershire Royal Hospital, Charles Hastings Way, Worcester WR5 1DD, UK (Singh B, Jones TJ, Robertson CS).
Charles S
CS
Robertson
abdomen; acute; appendicitis; general surgery; laparoscopy; mesenteric cyst