A mesothelial-lined cyst: an unusual presentation.
Steven MJ, Howatson A, Hanretty K, Sabharwal A
Department of Surgical Pediatrics, Royal Hospital for Sick Children, Glasgow, Scotland. mairisteven@doctors.org.uk
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.
Published 12 May 2009 in J Pediatr Surg, 44(5): e25-7.
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