Coulibaly Zana Ismael, Gumus Nejla, Demetter Pieter
Service d'anatomie pathologique de l'Institut Jules-Bordet, rue Meylemeersch 62, 1070 Bruxelles, Belgique; Département d'anatomie pathologique de l'université Félix Houphouët-Boigny, Abidjan, Côte d'Ivoire; Centre hospitalier et universitaire de Treichville, Treichville, Côte d'Ivoire.
Service d'anatomie pathologique de l'Institut Jules-Bordet, rue Meylemeersch 62, 1070 Bruxelles, Belgique.
Ann Pathol. 2023 Nov;43(6):487-490. doi: 10.1016/j.annpat.2023.04.001. Epub 2023 May 16.
Peritoneal inclusion cyst is a rare benign tumor. It usually affects women of reproductive age. Its etiology is poorly understood; a history of endometriosis, pelvic inflammatory disease and pelvic surgery are sometimes implicated in its occurrence. Its diagnosis is difficult with complex management. We report the case of a 29-year-old woman presenting a rectal mass for which the analysis of echo-endoscopic samples was not contributory. The PET-scan revealed a rectal submucosal mass and deep adenopathy. An exploratory laparoscopy was performed, and allowed to remove cystic inflammatory areas and lymph nodes. The histopathological study confirmed the diagnosis of peritoneal inclusion cyst with endometriosis and reactive adenitis. Peritoneal inclusion cyst is a rare condition that develops at the expense of the serosa. The risk of recurrence is high with a possibility of malignant transformation. Excision and monitoring are essential for good management.
腹膜包涵囊肿是一种罕见的良性肿瘤。它通常影响育龄女性。其病因尚不清楚；子宫内膜异位症、盆腔炎和盆腔手术史有时与它的发生有关。其诊断困难，治疗复杂。我们报告一例29岁女性，其直肠出现肿物，经超声内镜样本分析未得出有用结果。正电子发射断层扫描显示直肠黏膜下肿物及深部淋巴结肿大。进行了诊断性腹腔镜检查，并切除了囊性炎症区域和淋巴结。组织病理学研究证实诊断为伴有子宫内膜异位症和反应性腺炎的腹膜包涵囊肿。腹膜包涵囊肿是一种罕见的以浆膜为代价发展而来的病症。复发风险高，且有可能发生恶变。切除和监测对于良好的治疗至关重要。
