Hitzerd Emilie, Jeurgens-Borst Anneke J C M, Pijnenborg Johanna M A
Utrecht University, Utrecht, The Netherlands.
Department of Obstetrics & Gynaecology, Amphia Hospital, Breda, The Netherlands.
BMJ Case Rep. 2014 Jun 13;2014:bcr2014204963. doi: 10.1136/bcr-2014-204963.
A cystic pelvic mass detected during pregnancy is not uncommon, but can be a diagnostic challenge. Most of these pelvic masses are benign ovarian cysts and resolve spontaneously. However, rare non-ovarian causes can complicate the diagnostic and therapeutic management. In this report an unusual case is presented of a 27-year-old pregnant woman with an atypical multicystic lesion in the pelvis, seen on routine first trimester ultrasound. A laparoscopic exploration was performed to rule out ovarian malignancy, and after histological analysis she was diagnosed with peritoneal inclusion cysts. The diagnostic and therapeutic challenges inherent to this rare non-ovarian disease are addressed in this case report.
孕期检测到盆腔囊性肿块并不罕见，但可能是一个诊断难题。这些盆腔肿块大多是良性卵巢囊肿，可自行消退。然而，罕见的非卵巢原因可能会使诊断和治疗管理复杂化。在本报告中，介绍了一例不寻常的病例，一名27岁孕妇在孕早期常规超声检查时发现盆腔有一个非典型多囊肿块。进行了腹腔镜探查以排除卵巢恶性肿瘤，经组织学分析后，她被诊断为腹膜包涵囊肿。本病例报告探讨了这种罕见的非卵巢疾病所固有的诊断和治疗挑战。
