Some people blame cupcake for the supererogatory pound , others man and wife and baby . But in this typesetter’s case , the causal agent was something wholly bizarre : a ginormous abdominal cyst .

Described inBMJ Case Reports , a 22 - year - erstwhile woman with a body mass forefinger of 40 , so classified as “ morbidly rotund , ” repeatedly went to her MD in the U.K. because her tum was distend and tender . Each time she locomote in , her GP tell her the symptom were down to her fleshiness , and it was n’t until she started live pain in her loins that she was finally referred to the hospital .

Here , she was pass on an ultrasound as a standard bedside investigation to rule out anything sinister . Namely , the main business was that it could be a tumor , study source Dr. Partha Ray from James Paget University Hospital told IFLScience .

And while it did n’t look like a tumor , what they did detect came as a bit of a surprise .

“ It did n’t measure up that it was just her obesity . It was thought she had kidney pit – we did n’t expect to find what we did , ” Ray tell IFLScience . “ The ultrasound indicate a big fluid - filled sac where there should n’t be fluent . But that was the extent of it . ”

With the need for a more classic investigation , the patient was sent for a CT scan , which confirm that the woman had a whopping cyst in her belly , measure out a astounding 26 x 26 x 21 cm ( 10 x 10 x 8.2 in ) . After the woman became septic , she was sent to surgery where the cyst was murder , taking with it six liters of fluid .

While Ray suppose that the woman did have underlying obesity , so the cyst was by no means the only cause of her exercising weight problems , the take - home message here is that GPs will often send fleshy patient away because it ’s just assumed that the obesity is to blame for the morbidness they acquaint .

“ Referring a patient to infirmary does n’t take much drive , ” Ray said . “ And ultrasounds are punk and price - effective , and in this case we get something we usually would n’t have . ”