The uncertain problem of peritoneal bubblewrap

Abstract

A 40 year old woman was referred to the gynaecolog- ical clinic with a four-month history of right-sided lower abdominal pain and menorrhagia. Her past gynaecological history was of two previous cae- sarean sections, laparoscopic sterilisation, and hys- teroscopy dilatation and curettage for menorrhagia some four years previously. It was noted that a bladder injury had been sustained at time of second caesarean delivery, but this had been successfully repaired. Abdominal and bimanual examination suggested pelvic fullness, but no specific abnormality was detected. An ultrasound scan demonstrated some small sub-serosal fibroids and the presence of a left adenexal cyst measuring