Granulomatous peritonitis secondary to perforation of dermoid cyst

Stein, Irving F.; Kaye, Bernard M.

doi:10.1016/0002-9378(54)90207-0

Cited by 11 publications

(3 citation statements)

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“…The probability of recurrence, defined as surgical reintervention, within 2 years after laparoscopic resection (cystectomy) has been estimated to be 7.6% 12 . Avoiding cyst rupture during surgical removal is important because spillage of cyst contents may cause granulomatous peritonitis, mimicking tuberculosis, or peritoneal carcinomatosis 6,13 . MCTs may also be associated with peritoneal gliomatosis, i.e.…”

Section: Introductionmentioning

confidence: 99%

Imaging in gynecological disease (24): clinical and ultrasound characteristics of ovarian mature cystic teratomas

Heremans

Valentin

Sladkevicius

et al. 2022

Ultrasound in Obstet & Gyne

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Objective To describe the clinical and ultrasound features of ovarian mature cystic teratomas (MCTs). Methods This was a retrospective study. From the International Ovarian Tumor Analysis (IOTA) database, we identified patients with a histologically confirmed diagnosis of MCT who had undergone transvaginal ultrasound examination between 1999 and 2016 (IOTA phases 1, 2, 3 and 5) in one of five centers. Ultrasound was performed by an experienced examiner who used the standardized IOTA examination technique and terminology. In addition to extracting data from the IOTA database, available two‐dimensional grayscale and color or power Doppler images were reviewed retrospectively to identify typical ultrasound features of MCT described previously and detect possible new features using pattern recognition. All images were reviewed by two independent examiners and further discussed with two ultrasound experts to reach consensus. Results Included in the study were 454 patients with histologically confirmed MCT. Median age was 33 (range, 8–90) years and 66 (14.5%) patients were postmenopausal. Most MCTs were described by the original ultrasound examiner as unilocular (262/454 (57.7%)) or multilocular (70/454 (15.4%)) cysts with mixed echogenicity of cystic fluid (368/454 (81.1%)), acoustic shadowing (328/454 (72.2%)) and no or little vascularization on color Doppler (color score 1, 240/454 (52.9%); color score 2, 123/454 (27.1%)). The median largest lesion diameter was 66 (range, 15–310) mm. A correct preoperative diagnosis of MCT was suggested by the original ultrasound examiner in 372/454 (81.9%) cases. On retrospective review of ultrasound images of 334 MCTs that had quality sufficient for assessment, ‘dots and/or lines’ and/or ‘echogenic white ball’ (typical features according to the literature) were present in 271/334 (81.1%) masses. We identified four new ultrasound features characteristic of MCT: ‘cotton wool tufts’, ‘mushroom cap sign’, ‘completely hyperechogenic lesion’ and ‘starry sky sign’. At least one classical or novel ultrasound feature was present in 315/334 (94.3%) MCTs. Twenty‐nine (8.7%) MCTs manifested vascularized solid tissue, of which seven exhibited no typical features. Conclusion We provide a comprehensive overview of conventional and newly described ultrasound features of MCTs. Only a small proportion of MCTs did not manifest any of the typical features. © 2022 International Society of Ultrasound in Obstetrics and Gynecology.

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Section: Introductionmentioning

confidence: 99%

Imaging in gynecological disease (24): clinical and ultrasound characteristics of ovarian mature cystic teratomas

Heremans

Valentin

Sladkevicius

et al. 2022

Ultrasound in Obstet & Gyne

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“…Schairer's and Benirschke's cases with a fatal outcome could represent mere variants of solid malignant teratomas in which neural tissue predominates. In three of the remaining cases, the authors (Neuhauser, 1906;Noguchi and Lonser, 1961;Kourie and Roujeau, 1966) (Quer, Dockerty, and Mayo, 1951;Stein and Kaye, 1954). These microscopic features have not been seen in most recorded cases of gliomatosis peritonei, but Kourie and Roujeau (1961) describe chronic inflammatory cells in the base of the peritoneal deposits, and both chronic inflammatory cells and a focus of foreign-body type giant cells were also present in our case.…”

Section: Microscopymentioning

confidence: 97%

“…Acute rupture produces a chemical peritonitis, with great outpouring of fluid, pyrexia, and shock, and was usually fatal until the advent of modem surgery (Kirstner, 1952;Abitbol, Pomerance, and Mackles, 1959). A slower, smaller leakage, though it may produce few or no symptoms, can lead to a peritoneal reaction mimicking tuberculosis or metastatic tumour, and showing microscopically a granuloma-Gliomatosisperitonei causedby ovarian teratoma tous lesion with foreign-body-type giant cells and lipid-laden macrophages (Quer, Dockerty, and Mayo, 1951;Stein and Kaye, 1954). These microscopic features have not been seen in most recorded cases of gliomatosis peritonei, but Kourie and Roujeau (1961) describe chronic inflammatory cells in the base of the peritoneal deposits, and both chronic inflammatory cells and a focus of foreign-body type giant cells were also present in our case.…”

Section: Macroscopic Featuresmentioning

confidence: 99%

Gliomatosis peritonei caused by ovarian teratoma

Fortt¹,

Mathie²

1969

J Clin Pathol

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A case of ovarian teratoma which produced glial peritoneal deposits is described. Twelve other cases in the literature are tabulated. The age at presentation ranges from 22 months to 22 years (mean age 14·6 years). The primary tumour may be solid or cystic. The prognosis does not appear to be improved by radical surgery as opposed to simple excision but depends mainly on the maturity of the tissues of the primary tumour and the peritoneal deposits. Although the period of follow up is generally short, a survival time up to 26 years is recorded. In the fatal cases, there is rapid recurrence and metastatic spread. The pathogenesis of the glial deposits is discussed.

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