Peritoneal inclusion cysts in pregnancy, a diagnostic challenge

Hitzerd, Emilie; Jeurgens-Borst, Anneke J C M; Pijnenborg, Johanna M.A.

doi:10.1136/bcr-2014-204963

Cited by 4 publications

(1 citation statement)

References 17 publications

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“…In addition, a gonadotropin-releasing hormone agonist and oral contraceptives were reported to decrease their size [3, 7–9], suggesting that sex-hormones may promote fluid secretion, thereby enlarging the inclusion cyst [3, 7, 10]. To our knowledge, there have been only a few reports of inclusion cysts during pregnancy [4, 11]. Moreover, there has been no previous report of a rapidly growing pelvic inclusion cyst during pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Rapid Growth of Pelvic Cyst during Pregnancy: A Case Report

Fujimoto

Takahashi

Horie

et al. 2019

Case Reports in Obstetrics and Gynecology

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We describe a patient with bilateral cystic tumors of the pelvis. The left one rapidly grew during pregnancy and combined with the right one, whose clinical course made diagnosis difficult. A pregnant woman with a history of laparotomy was referred to us due to suspected bilateral pelvic cysts. The left-sided cyst had rapidly grown to 27 cm in diameter and merged with the right cyst, forming a large cyst occupying the entire pelvic cavity in the third trimester. Considering this rapid growth, cesarean section and resection of the cyst were performed at 37th week. The resected cyst consisted of two components: a large unilocular cyst containing serous fluid and a multilocular cyst suggestive of ovarian mucinous cystadenoma in the right ovary. The wall of the former largely lacked lining epithelium, but it was partly continuous with the latter mucinous epithelium. Immunohistochemically, estrogen and progesterone receptors were focally positive in the cyst wall, suggesting that pregnancy-associated sex-hormones may have contributed to the rapid growth of the cyst. We diagnosed this condition as a peritoneal inclusion cyst margining with a right ovarian mucinous cystadenoma. Peritoneal inclusion cyst should be considered in the differential diagnosis of a rapidly growing pelvic mass during pregnancy.

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Section: Introductionmentioning

confidence: 99%

Rapid Growth of Pelvic Cyst during Pregnancy: A Case Report

Fujimoto

Takahashi

Horie

et al. 2019

Case Reports in Obstetrics and Gynecology

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Benign multicystic mesothelioma and peritoneal inclusion cysts: are they the same clinical and histopathological entities? A systematic review to find an evidence-based management

Rapisarda

Cianci

Caruso

et al. 2018

Arch Gynecol Obstet

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PMC are more common than had previously been thought. Most authors consider them non-neoplastic; thus the designation of "peritoneal inclusion cyst" is preferable. The term "mesothelioma" should be used only in cases of histological evidences of atypia. The high rates of recurrence suggest that the goal of treatment should not be necessarily complete eradication, but symptomatic relief through individualized treatment. This is a topic of particular importance, especially in young female where recurrence rates could be lower than those reported in adults and where an improperly aggressive treatment could have repercussions on fertility.

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