AlTamimi Jawahir O, Alzahrani Esraa A, Fallatah Abdullah, Alhakami Lujain A, Bokhari Bayan E
College of Medicine, King Saudi bin Abdulaziz for Health Sciences, Jeddah, SAU.
General Surgery, King Abdulaziz Medical City, Jeddah, SAU.
Cureus. 2023 Feb 20;15(2):e35230. doi: 10.7759/cureus.35230. eCollection 2023 Feb.
Peritoneal inclusion cysts (PICs) are reactive, fluid-filled lesions of the peritoneal lining, usually affecting women of reproductive age and with previous abdominal surgeries. Paraovarian cysts, hydrosalpinx, and low-grade cystic mesothelioma are usually considered in the differential diagnosis of PICs. In this case report, we present an 18-year-old female with a known case of bladder exstrophy and chronic urinary incontinence and a previous history of surgical bladder repair. She presented to the emergency department (ED) with urinary incontinence and lower abdominal pain. A computed tomography was ordered for her to rule out hydronephrosis, and incidentally, ovarian cysts were discovered that were then bilaterally excised via laparotomy. Our case report emphasizes the significance of considering such a diagnosis when coming across patients whose risk factors and symptoms match the diagnosis.
腹膜包涵囊肿（PICs）是腹膜衬里的反应性、充满液体的病变，通常影响育龄期女性且既往有腹部手术史。鉴别诊断PICs时通常会考虑卵巢旁囊肿、输卵管积水和低度囊性间皮瘤。在本病例报告中，我们介绍了一名18岁女性，她患有膀胱外翻和慢性尿失禁，并有膀胱手术修复史。她因尿失禁和下腹痛就诊于急诊科（ED）。为她安排了计算机断层扫描以排除肾积水，偶然发现了卵巢囊肿，随后通过剖腹手术将其双侧切除。我们的病例报告强调了在遇到危险因素和症状与诊断相符的患者时考虑这种诊断的重要性。
