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Am J Surg. 2009 Jan;197(1):e1-2. doi: 10.1016/j.amjsurg.2007.12.065. Epub 2008 Aug 23.

Clinical images. Atypical midcycle pain.

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  • 1Department of Surgery, Mid-Western Regional Hospital, Limerick, Ireland.


A 16-year-old female presented with acute-onset abdominal pain and an initial diagnosis of midcycle pain. Subsequent pelvic ultrasound and diagnostic laparoscopy showed a large mass in the pouch of Douglas. The patient underwent a laparotomy and excision of a mass from a loop of jejunum. This case highlights the difficulties in diagnostic differentiation relating to large pelvic masses in young females.

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