Case presentation A 27-year-old woman presented with progressive abdominal swelling accompanied by pain for the past nine months. She had no known history of chronic medical conditions. Her surgical history was notable for a lower-segment cesarean section (LSCS) performed in May 2023.
Clinical examination Distended abdomen Umbilicus displace to the right and inverted Healed LSCS scar Palpable firm, smooth, well-defined mass Mass measuring 10x15 cm in the suprapubic region (Figure 1) Mild tenderness over the swelling Figure 1 . Abdominal swelling Contrast-enhanced computer tomography of the abdomen Presence of daughter cysts and laminated membranes Characteristic water lily sign identified (Figure 2) Figure 2. CT images showing water lily sign Exploratory laparotomy Cyst measuring approximately 10 × 15 cm located in the lower abdomen (Figure 3) Cyst adherent to the small bowel wall…
