Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, BC.
Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, BC.
J Obstet Gynaecol Can. 2020 Apr;42(4):500-503. doi: 10.1016/j.jogc.2019.05.018. Epub 2019 Aug 2.
Peritoneal inclusion cysts (PICs) are uncommon tumours that can pose diagnostic challenges. This report describes an unusual etiology and management of recurrent pelvic organ prolapse.
A 48-year-old premenopausal woman presented with recurrent prolapse and urinary frequency after total abdominal hysterectomy and synthetic mesh sacrocolpopexy. On examination, a stage II rectoenterocele was noted. Her post-void residual was 760 mL as measured by bladder scanner, discrepant with in-and-out catheterization. Pelvic ultrasound revealed a 19-cm cystic pelvic mass. At laparoscopy a PIC was identified, and cystectomy, uterosacral plication, and Moschcowitz culdoplasty were performed. Complete symptom resolution was documented at 4 weeks and 3 months postoperatively.
PICs should be included in the differential diagnosis of recurrent prolapse. Prolapse symptoms attributable to PICs can be treated with laparoscopic cystectomy.
腹膜包涵囊肿（PICs）是一种罕见的肿瘤，可能会带来诊断挑战。本报告描述了一种不常见的复发性盆腔器官脱垂的病因和治疗方法。
一名 48 岁的绝经前妇女在全子宫切除术和合成网片骶骨阴道固定术后出现复发性脱垂和尿频。检查时，发现 II 度直肠阴道膨出。她的膀胱扫描仪测量的残余尿量为 760 毫升，与进出导管测量的结果不一致。盆腔超声显示盆腔有一个 19 厘米的囊性肿块。腹腔镜检查发现 PIC，行囊肿切除术、子宫骶骨固定术和 Moschcowitz 阴道后弯隆修补术。术后 4 周和 3 个月时记录到完全症状缓解。
PICs 应纳入复发性脱垂的鉴别诊断。PICs 引起的脱垂症状可以通过腹腔镜囊肿切除术治疗。
