Nightingale Katie, Clough Emily, Goldsmith Paul, Burke Joshua Richard
Department of Emergency General Surgery, Manchester University NHS Foundation Trust, Oxford Road, Manchester M139WL, United Kingdom.
Leeds Institute Medical Research, University of Leeds, Beckett Street, Leeds, LS9 7TF, West Yorkshire, United Kingdom.
J Surg Case Rep. 2024 May 3;2024(5):rjae258. doi: 10.1093/jscr/rjae258. eCollection 2024 May.
Peritoneal inclusion cysts (PICs) are a rare and benign condition of uncertain pathogenesis. The fluid-filled, mesothelial-lined cysts manifest within the abdominopelvic cavity. This case report details an unusual occurrence of a 97 mm PIC- presenting as an umbilical hernia- in a 26-year-old male patient with no prior surgical history. Following pre-operative cross-sectional imaging, this was managed through open excision without complication. A systematic review of the literature highlighted 30 previous cases [26F, 4M] with a mean age of 34 years (std ±15.4) and a median diameter of 93 mm [IQR, 109 mm]. A total of 53% (n = 16) of cases had a history of previous abdominal surgery. Surgical excision is safe and laparoscopic modality should be considered (<1% recurrence). Accepting the limited evidence base, image guided drainage should be avoided (50% recurrence, n = 2).
腹膜包涵囊肿（PICs）是一种发病机制不明的罕见良性疾病。这种充满液体、由间皮细胞衬里的囊肿出现在腹腔盆腔内。本病例报告详细描述了一名26岁无手术史男性患者出现的一例罕见的97毫米腹膜包涵囊肿，表现为脐疝。术前进行横断面成像检查后，通过开放切除进行处理，未出现并发症。对文献的系统回顾显示，此前有30例病例报道[26例女性，4例男性]，平均年龄为34岁（标准差±15.4），中位直径为93毫米[四分位间距，109毫米]。共有53%（n = 16）的病例有腹部手术史。手术切除是安全的，应考虑采用腹腔镜手术方式（复发率<1%）。鉴于证据有限，应避免影像引导下引流（复发率50%，n = 2）。
