Endometriosis with peritoneal inclusion cyst: an uncharted territory - 31/05/24
Highlights |
• | Peritoneal inclusion cysts (PIC), also referred to as peritoneal pseudocysts, benign multi-cystic mesothelioma, multilocular mesothelioma, entrapped ovarian cyst, pelvic peritoneal inflammatory cysts, are one of the common pelvic cystic lesions in females of reproductive age group. |
• | There might be an overlap of imaging features among various adnexal and pelvic cystic lesions, including ovarian neoplasms, which often require surgical intervention. |
• | Hence, it is imperative to consider this entity in patients with a history of previous pelvic or abdominal surgery, pelvic inflammatory disease, trauma, and endometriosis. |
• | We report three rare cases of peritoneal inclusion cysts in patients with endometriosis, highlighting their association with pelvic adhesions. |
• | The presence of the typical imaging appearances in the setting of endometriosis should prompt the diagnosis of peritoneal inclusion cysts to avoid unnecessary surgical intervention. |
Abstract |
Peritoneal inclusion cyst (PIC) are non-neoplastic mesothelium-lined cystic lesions occurring in premenopausal females with functioning ovaries and pelvic adhesions. Endometriosis is one of the common causes for pelvic adhesions and patients may primarily present in the out-patient department with abdominopelvic lump along with complaints of dysmenorrhoea, infertility. On imaging, these PICs appear as unilocular or multilocular thin-walled cystic lesion insinuating and conforming to the shape of adjacent intraperitoneal structures. The ovaries may be entrapped within the cyst giving the spider (spider web pattern -typical of peritoneal inclusion cyst). The imaging appearances of PIC may overlap with various causes of complex adnexal and pelvic cystic lesions including that of ovarian neoplasms, which often require surgical intervention. This makes it imperative to diagnose this entity in the presence of typical imaging characteristics and appropriate clinical setting such as with history of previous pelvic or abdominal surgery, pelvic inflammatory disease, trauma, and endometriosis. We have reported three rare cases of peritoneal inclusion cysts in patients with endometriosis.
Le texte complet de cet article est disponible en PDF.Keywords : Peritoneal inclusion cyst, Endometriosis, Adhesions, Cyst
Plan
Vol 8
Article 100082- décembre 2024 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.