A mesothelial-lined cyst: an unusual presentation

Abstract 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 o...

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Bibliographic Details
Published in:Journal of pediatric surgery 2009-05, Vol.44 (5), p.e25-e27
Main Authors: Steven, Mairi J, Howatson, Alan, Hanretty, Kevin, Sabharwal, Atul
Format: Article
Language:English
Subjects:
Abdominal Pain - etiology
Appendectomy
Appendicectomy
Broad Ligament - embryology
Child
Cysts - complications
Cysts - diagnosis
Cysts - embryology
Cysts - pathology
Cysts - surgery
Epithelium - pathology
Fallopian Tubes - embryology
Female
Genital Diseases, Female - complications
Genital Diseases, Female - diagnosis
Genital Diseases, Female - embryology
Genital Diseases, Female - pathology
Genital Diseases, Female - surgery
Humans
Laparoscopy - adverse effects
Mesothelial cyst
Paramesonephric
Pediatrics
Postoperative Complications - diagnosis
Postoperative Complications - pathology
Postoperative Complications - surgery
Rupture - etiology
Surgery
Wolffian Ducts - embryology
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Summary:Abstract 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.
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2009.02.005