Abstract
Mycoplasma pneumoniae is a causative organism of atypical pneumonia and often presents with extrapulmonary symptoms and signs involving cardiovascular, dermatological, gastrointestinal and neurological systems. This is mostly seen in children but less commonly reported in adults. This case describes M. pneumoniae infection in an adult who presented with severe abdominal pain and was initially investigated for surgical causes and underwent diagnostic laparoscopy with unremarkable intraoperative findings. This case report highlights the importance of recognising atypical presentations of M. pneumoniae and consideration of non-gastrointestinal pathologies in patients presenting with acute abdominal pain.