Taibah University, Department of Obstetric and gynecology, College of Medicine, Saudi Arabia.
King Faisal specialist hospital and research center, Madina, Saudi Arabia.
Afr J Reprod Health. 2023 Jul;27(7):127-132. doi: 10.29063/ajrh2023/v27i7.12.
Several studies have shown that most peritoneal inclusion cysts (PIC) cases occur almost exclusively in women of childbearing age and patients who have had abdominal or pelvic surgery. We report a case of PIC diagnosed in a 19 years old single adolescent female with chronic pelvic pain and secondary amenorrhea with no prior history of abdominal surgery. A multilocular abnormality in the pelvis and a septated pelvic fluid encompassing the ovaries and extending to the right iliac fossa was revealed by ultrasound images and Magnetic Resonance Imaging (MRI), respectively. She was treated with broad-spectrum antibiotics, and after symptoms persisted, a laparoscopic exploration that resolved all symptoms was performed. After histological analysis, she was diagnosed with peritoneal inclusion cysts. PICs are a rare non-ovarian cause of cystic pelvic lesions and should be considered in its differential diagnosis. Furthermore, diagnostic laparoscopy can be performed when no precise radiological diagnosis is obtained. Surgical excision of all visible cyst walls remains the best-recommended treatment.
多项研究表明，大多数腹膜包涵囊肿（PIC）病例几乎仅发生在育龄期妇女和有腹部或盆腔手术史的患者中。我们报告了一例 19 岁未婚青少年女性的 PIC 病例，该患者有慢性盆腔痛和继发性闭经，无腹部手术史。超声图像显示盆腔多房性异常，磁共振成像（MRI）显示分隔的盆腔积液包绕卵巢并延伸至右髂窝。她接受了广谱抗生素治疗，但症状持续存在后，进行了腹腔镜探查，所有症状均得到缓解。组织学分析后，诊断为腹膜包涵囊肿。PIC 是一种罕见的非卵巢性囊性盆腔病变，应在鉴别诊断中考虑。此外，当无法获得明确的影像学诊断时，可以进行诊断性腹腔镜检查。手术切除所有可见的囊壁仍然是最佳推荐治疗方法。
