• Clinical images. Atypical midcycle pain.

      Alsinnawi, Mazen; Fleming, Fergal J; Kenny, Bryan J; Waldron, David; Department of Surgery, Mid-Western Regional Hospital, Limerick, Ireland., alsinnawi@yahoo.co.uk (2012-01-31)
      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.