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A ruptured infected mesenteric cyst diagnosed on laparoscopy for suspected appendicitis
Stephen T Ward1, Baljinder Singh2, Terence J Jones2
1Department of Colorectal Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham B15 2TH, UK (Ward ST).
Annals of Gastroenterology
|April 10, 2014
Summary
A ruptured, infected mesenteric cyst caused acute lower abdominal pain in a young woman. This rare condition requires surgical diagnosis and treatment, highlighting the importance of considering unusual causes of abdominal pain.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Acute lower abdominal pain in young women often leads to surgical consultation.
- Differential diagnoses commonly include appendicitis, ovarian cysts, and pelvic inflammatory disease.
Observation:
- A 25-year-old woman presented with acute lower abdominal pain.
- Pregnancy tests were negative, and initial differentials were broad.
Findings:
- Diagnostic laparoscopy revealed a ruptured and infected mesenteric cyst.
- Intestinal and mesenteric cystic disease is a rare cause of acute abdominal pain.
Implications:
- This case underscores the need to consider rare cystic diseases in the differential diagnosis of acute abdominal pain.
- Prompt surgical intervention is crucial for managing ruptured and infected mesenteric cysts.
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