A peritoneal inclusion cyst is a cyst-like structure that appears in the pelvis due to non neoplastic reactive mesothelial proliferation, often as a consequence of prior episodes of pelvic inflammation, as can occur in pelvic inflammatory disease. It has the potential to mimic ovarian cysts, hydrosalpinx or even malignancy, due to its nonspecific anechoic appearance.[1]
| Peritoneal inclusion cyst | |
|---|---|
| Other names | Benign multicystic peritoneal mesothelioma |
 | |
| Peritoneal inclusion cyst | |
| Specialty | Dermatology |
Signs and symptoms edit
The most common symptoms of a peritoneal inclusion cyst are persistent abdominal or pelvic pain and a subjectively palpable abdominal mass.[2] Often, a physical examination reveals no palpable mass in the abdomen or pelvis.[3] The symptoms can last for days or months at a time.[4] Acute or chronic pelvic pain, back pain, dyspareunia, hernia, constipation, tenesmus, urinary frequency, urinary incontinence, anorexia, dysfunctional uterine bleeding, infertility, postmenopausal bleeding, and pulmonary embolism due to compression and venous stasis are some other reported presentations.[2]
Causes edit
Peritoneal inclusion cysts are almost exclusively seen in premenopausal women who have had endometriosis, trauma, pelvic inflammatory illness, or previous abdominal or pelvic surgery.[5][6]
References edit
- ^ Singh, A; Sehgal, A; Mohan, H (2015). "Multilocular peritoneal inclusion cyst mimicking an ovarian tumor: A case report". Journal of Mid-Life Health. 6 (1): 39–40. doi:10.4103/0976-7800.153648. PMC 4389384. PMID 25861208.
- ^ a b Vallerie, Amy M.; Lerner, Jodi P.; Wright, Jason D.; Baxi, Laxmi V. (2009). "Peritoneal Inclusion Cysts: A Review". Obstetrical & Gynecological Survey. 64 (5): 321–334. doi:10.1097/OGX.0b013e31819f93d4. ISSN 0029-7828.
- ^ Amesse, Lawrence S.; Gibbs, Paul; Hardy, John; Jones, Kimberly R.; Pfaff-Amesse, Teresa (2009). "Peritoneal Inclusion Cysts in Adolescent Females: A Clinicopathological Characterization of Four Cases". Journal of Pediatric and Adolescent Gynecology. 22 (1). Elsevier BV: 41–48. doi:10.1016/j.jpag.2008.02.003. ISSN 1083-3188.
- ^ Weiss, S. W.; Tavassoli, F. A. (1988). "Multicystic mesothelioma. An analysis of pathologic findings and biologic behavior in 37 cases". The American Journal of Surgical Pathology. 12 (10): 737–746. ISSN 0147-5185. PMID 3421410.
- ^ Sohaey, R; Gardner, T L; Woodward, P J; Peterson, C M (1995). "Sonographic diagnosis of peritoneal inclusion cysts". Journal of Ultrasound in Medicine. 14 (12). Wiley: 913–917. doi:10.7863/jum.1995.14.12.913. ISSN 0278-4297.
- ^ Koninckx, P. R.; Renaer, M.; Brosens, I. A. (1980). "ORIGIN OF PERITONEAL FLUID IN WOMEN: AN OVARIAN EXUDATION PRODUCT". BJOG: An International Journal of Obstetrics & Gynaecology. 87 (3). Wiley: 177–183. doi:10.1111/j.1471-0528.1980.tb04514.x. ISSN 1470-0328.