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Pelvic Peritoneal Inclusion Cyst: Ultrasound Diagnosis and Management

Original Article
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Abstract

Background

Pelvic peritoneal inclusion cysts are rarely encountered in practice.

Purpose

We report four cases with pelvic peritoneal inclusion cysts with their management.

Methods

Female patients with history of abdominal pain and infertility were diagnosed with peritoneal inclusion cyst on ultrasound.

Results

They were operated by laparoscopy or laparotomy.

Conclusions

Peritoneal cysts are rare in practice. They are related to endometriosis and adhesions of previous surgeries or infections. They are diagnosed on ultrasound by irregular cyst-like structure separable of the ovary. It is better to be surgically removed to avoid recurrence especially if persistent on conservative management. During surgery deroofing is needed with marsupilization with out dissection of the cyst to avoid retroperitoneum structures injury or ultrasound guided aspiration under sedation. If diagnosis is missed on ultrasound, during surgery it is suspected by puncture and evaluation of the cavity for normal peritoneum of douglas pouch with separable ovary or thin transparent cyst wall with no plane of separation for dissection from roof especially if frozen pelvis by adhesions. It is in opposite to the thick wall of ovarian tissue on cystectomy with identifiable plane of dissection.

Keywords

Cyst Ultrasound Peritoneum Surgery 

Notes

Compliance with Ethical Standards

Conflict of interest

The author declares no conflict of interest.

Ethical Standard

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from the patient included in the study.

Ethical Disclosure

The author declares that the procedures followed were in accordance with the regulations of the relevant clinical research ethics committee and with those of the Code of Ethics of the World Medical Association (Declaration of Helsinki).

Confidentiality of Data

The author declares that they have followed the protocols of their work center on the publication of patient data.

Right to Privacy and Informed Consent

The author has obtained the written informed consent of the patients or subjects mentioned in the article. The corresponding author is in possession of this document.

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Copyright information

© Association of Gynecologic Oncologists of India 2017

Authors and Affiliations

  1. 1.Department of obstetrics and gynecology, Faculty of medicineAlexandria universityAlexandriaEgypt
  2. 2.Women`s imaging unit, shatby maternity university hospitalAlexandria universityAlexandriaEgypt

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