A case report on peritoneal inclusion cyst with entrapped ovary and an endometriotic cyst causing diagnostic dilemma

Authors

  • Luciana Stumpf Stritch School of Medicine, Maywood, Illinois, USA
  • Shuchi Zinzuwadia Stritch School of Medicine, Maywood, Illinois, USA
  • Brett Ploussard Department of Radiology, Loyola University Medical Center, Maywood, Illinois, USA
  • Shweta Zinzuwadia Lake Erie College of Osteopathic Medicine, Bradenton, Florida, USA
  • Elizabeth Bhrahmbhatt Department of Pathology, Loyola University Medical Center, Maywood, Illinois, USA
  • Kailynn Adam Department of Obstetrics and Gynaecology, Loyola University Medical Center, Maywood, Illinois, USA
  • Anugayathri Jawahar Department of Radiology, Loyola University Medical Center, Maywood, Illinois, USA

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20220921

Keywords:

Peritoneal inclusion cyst, Peritoneal pseudocyst, Peritoneal inflammatory cysts, Entrapped ovarian cyst

Abstract

Peritoneal inclusion cysts (PIC) occur most frequently when abdominal adhesions attach to an ovary. These adhesions are commonly seen in patients with a history of abdominal surgery. Physiologic fluid following ovulation that would normally be absorbed by the peritoneum gets entrapped within these adhesions. Women most frequently complain of back pain or pelvic pain when peritoneal inclusion cysts are present. We present a patient with prior surgical history who presented with suprapubic pain and was found to have a complex cyst on imaging. Gynecologic oncology was consulted due to its complex imaging appearance and large size and was ultimately resected despite negative tumor markers. We present our case with pathologic correlation of imaging findings to emphasize this benign entity with no malignant potential. A confident imaging diagnosis in correlation with laboratory markers can help prevent aggressive surgical management.

Author Biographies

Luciana Stumpf, Stritch School of Medicine, Maywood, Illinois, USA

Medical student

Shuchi Zinzuwadia, Stritch School of Medicine, Maywood, Illinois, USA

Medical Student

Brett Ploussard, Department of Radiology, Loyola University Medical Center, Maywood, Illinois, USA

Research Fellow

Shweta Zinzuwadia, Lake Erie College of Osteopathic Medicine, Bradenton, Florida, USA

Medical Student

Elizabeth Bhrahmbhatt, Department of Pathology, Loyola University Medical Center, Maywood, Illinois, USA

Pathology resident

Kailynn Adam, Department of Obstetrics and Gynaecology, Loyola University Medical Center, Maywood, Illinois, USA

Obstetrics and Gynecology resident

Anugayathri Jawahar, Department of Radiology, Loyola University Medical Center, Maywood, Illinois, USA

Assistant Professor, Department of Radiology

References

Kim JS, Lee HJ, Woo SK, Lee TS. Peritoneal inclusion cysts and their relationship to the ovaries: evaluation with sonography. Radiology. 1997;204(2):481-4.

Jones SA, Salicco JM, Byers MS. Pelvic pain and history of previous pelvic surgery. Proc (Bayl Univ Med Cent). 2003;16(1):121-2.

Jain KA. Imaging of peritoneal inclusion cysts. AJR Am J Roentgenol. 2000;174(6):1559-63.

Vallerie AM, Lerner JP, Wright JD, Baxi LV. Peritoneal inclusion cysts: a review. Obstet Gynecol Surv. 2009;64(5):321-34.

Goldfisher R, Awal D, Amodio J. Peritoneal inclusion cysts in female children: pathogenesis, treatment, and multimodality imaging review. Case Rep Radiol. 2014;2014:427427.

Amesse LS, Gibbs P, Hardy J, Jones KR, Pfaff-Amesse T. Peritoneal inclusion cysts in adolescent females: a clinicopathological characterization of four cases. J Pediatr Adolesc Gynecol. 2009;22(1):41-8.

Kozasa K, Takemoto Y, Goto T, Kobayashi M, Sakaguchi H, Fujiwara S et al. Two cases of giant peritoneal inclusion cysts requiring treatment after total laparoscopic hysterectomy. J Surg Case Rep. 2020;2020(12):rjaa506.

Moyle PL, Kataoka MY, Nakai A, Takahata A, Reinhold C, Sala E. Nonovarian cystic lesions of the pelvis. Radiographics. 2010;30(4):921-38.

Chand MT, Edens J, Lin T, Anderson I, Berri R. Benign multicystic peritoneal mesothelioma: literature review and update. Autopsy Case Rep. 2020;10(3):e2020159.

Patel MD, Ascher SM, Paspulati RM, Shanbhogue AK, Siegelman ES, Stein M et al. Managing incidental findings on abdominal and pelvic CT and MRI, part 1: white paper of the ACR Incidental Findings Committee II on adnexal findings. J Am Coll Radiol. 2013;10(9):675-81.

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Published

2022-03-25

Issue

Section

Case Reports