Abstract
A 33 year old primigravida at 16 weeks' gestation presented with sudden-onset sharp abdominal pain. She had no urinary or digestive symptoms and had an uneventful past medical and antenatal history. Marked tenderness was elicited on palpation of the periumbilical region. Laboratory results were normal, but an abdominal ultrasound revealed a 16 cm intraabdominal cyst and confirmed pregnancy (Figure).
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