“…BMPM has a predilection for the pelvic peritoneum [ 15 , 28 , 29 ]. Multiple cysts forming a confluent mass are usually found, although isolated cystic lesions have also been reported [ 3 , 14 ].…”
Section: Discussionmentioning
confidence: 99%
“…Preoperative diagnosis is challenging [ 28 ]. There are some benign and malignant disorders that can simulate BMPM, such as abdominal cystic lymphangioma, pseudomyxoma peritonei, cystic adenomatoid tumor, endometriosis, malignant peritoneal mesothelioma, and secondary tumors involving the peritoneum [ 2 , 28 – 30 ].…”
Section: Discussionmentioning
confidence: 99%
“…Ultrasound (US) and, above all, CT scan are useful for diagnosis. In addition, MRI can also be employed [ 28 , 29 , 31 , 32 ]. US can demonstrate multiseptated anechoic cystic formations while CT scan usually shows, as in our case ( Figure 1 ), low-density, thin-walled, multiloculated, multicystic masses.…”
Section: Discussionmentioning
confidence: 99%
“…Definitive diagnosis requires histological examination, and if any doubts remain, positive immunohistochemical staining of the mesothelial cells for calretinin confirms the diagnosis [ 15 , 28 – 30 , 33 ].…”
Benign multicystic peritoneal mesothelioma (BMPM) is a rare condition, more common in females of reproductive age, which arises from the peritoneal mesothelium. A 33-year-old male presented to our unit with abdominal pain and constipation. His past medical history included a previous unilateral nephrectomy for Wilms' tumor and the previous incidental finding of some intra-abdominal cystic formations at the level of the mesentery. After performing a CT scan, an exploratory laparotomy was done and a voluminous cystic mesenteric mass, composed of 3 confluent formations, was observed. Some other similar but significantly smaller lesions were found. An en bloc resection of the mesenteric mass together with the corresponding intestinal loops, an appendicectomy, and some peritoneal biopsies were performed. The postoperative period was complicated by a peritonitis due to dehiscence of the intestinal anastomosis, which required another operation, and a delayed return of normal bowel function, which was resolved through prokinetic therapy. Through histological examination, a BMPM was diagnosed. At 8 months of follow-up, the patient is free of symptoms. BMPM exact etiopathogenesis still remains uncertain. Given his high recurrence rate, a long-term follow-up is recommended.
“…BMPM has a predilection for the pelvic peritoneum [ 15 , 28 , 29 ]. Multiple cysts forming a confluent mass are usually found, although isolated cystic lesions have also been reported [ 3 , 14 ].…”
Section: Discussionmentioning
confidence: 99%
“…Preoperative diagnosis is challenging [ 28 ]. There are some benign and malignant disorders that can simulate BMPM, such as abdominal cystic lymphangioma, pseudomyxoma peritonei, cystic adenomatoid tumor, endometriosis, malignant peritoneal mesothelioma, and secondary tumors involving the peritoneum [ 2 , 28 – 30 ].…”
Section: Discussionmentioning
confidence: 99%
“…Ultrasound (US) and, above all, CT scan are useful for diagnosis. In addition, MRI can also be employed [ 28 , 29 , 31 , 32 ]. US can demonstrate multiseptated anechoic cystic formations while CT scan usually shows, as in our case ( Figure 1 ), low-density, thin-walled, multiloculated, multicystic masses.…”
Section: Discussionmentioning
confidence: 99%
“…Definitive diagnosis requires histological examination, and if any doubts remain, positive immunohistochemical staining of the mesothelial cells for calretinin confirms the diagnosis [ 15 , 28 – 30 , 33 ].…”
Benign multicystic peritoneal mesothelioma (BMPM) is a rare condition, more common in females of reproductive age, which arises from the peritoneal mesothelium. A 33-year-old male presented to our unit with abdominal pain and constipation. His past medical history included a previous unilateral nephrectomy for Wilms' tumor and the previous incidental finding of some intra-abdominal cystic formations at the level of the mesentery. After performing a CT scan, an exploratory laparotomy was done and a voluminous cystic mesenteric mass, composed of 3 confluent formations, was observed. Some other similar but significantly smaller lesions were found. An en bloc resection of the mesenteric mass together with the corresponding intestinal loops, an appendicectomy, and some peritoneal biopsies were performed. The postoperative period was complicated by a peritonitis due to dehiscence of the intestinal anastomosis, which required another operation, and a delayed return of normal bowel function, which was resolved through prokinetic therapy. Through histological examination, a BMPM was diagnosed. At 8 months of follow-up, the patient is free of symptoms. BMPM exact etiopathogenesis still remains uncertain. Given his high recurrence rate, a long-term follow-up is recommended.
“…The fluid within these cysts is generally anechoic, but the cysts may contain echoes from debris or hemorrhage. The number of septa, complexity of the septa, and size of individual cysts are quite variable (Fig 19) (40). Although there is much controversy in the literature regarding peritoneal inclusion cysts and benign multicystic peritoneal mesothelioma, with these terms cited interchangeably in many instances, these two entities should not be confused with one another at US.…”
Ultrasonography (US) is frequently the first imaging modality used to examine women with symptoms involving the pelvis. It is widely available and involves no exposure to ionizing radiation. Images can be acquired with a transabdominal, endovaginal, or translabial approach, and the use of video clips and three-dimensional reconstructions can be helpful. US is excellent for assessment of the uterus, ovaries, and adnexa. Occasionally, nongynecologic pelvic diseases arising from the gastrointestinal, genitourinary, and musculoskeletal systems and the pelvic peritoneal and extraperitoneal spaces may be detected and can be a source of diagnostic dilemma. US can be helpful not only in the detection but also occasionally in the characterization of such entities. Computed tomography and magnetic resonance imaging are useful in complicated cases. In this article, the normal US appearance of the bowel and US signs of bowel disease and specific entities, including appendicitis, diverticular disease, bowel obstruction, appendiceal mucocele, and intestinal tumors, are reviewed. The lower urinary tract is included in the field of view in every pelvic US examination; commonly encountered entities related to the urinary bladder, distal ureter, and urethra are illustrated. In addition to arising in the gastrointestinal and genitourinary tracts, pathologic conditions in the pelvis can arise in the peritoneal or extraperitoneal space. Although conditions of the pelvic peritoneal and extraperitoneal spaces are rare, it is important to recognize these entities and distinguish them from the more common gynecologic diseases. Owing to the implications for diagnosis and management, radiologists and other physicians who perform pelvic US should be aware of the spectrum of nongynecologic pathologic entities that can be detected. RSNA, 2017.
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