open access

Vol 92, No 8 (2021)
Review paper
Published online: 2021-08-11
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Peritoneal inclusion cysts as a diagnostic and treatment challenge

Agata Natkanska1, Magdalena A. Bizon-Szpernalowska2, Tomasz Milek3, Wlodzimierz Sawicki2
DOI: 10.5603/GP.a2021.0142
·
Pubmed: 34541630
·
Ginekol Pol 2021;92(8):583-586.
Affiliations
  1. Scientific Student’s Group of Chair and Department of Obstetrics, Gynecology and Gynecological Oncology, Medical University of Warsaw, Poland
  2. Chair and Department of Obstetrics, Gynecology and Gynecological Oncology, Medical University of Warsaw, Poland, Warsaw, Poland
  3. 1st Department and Clinic of General and Vascular Surgery, Medical University of Warsaw, Poland, Warsaw, Poland

open access

Vol 92, No 8 (2021)
REVIEW PAPERS Gynecology
Published online: 2021-08-11

Abstract

Peritoneal inclusion cysts (PICs) are benign multilocular cysts that consist of fluid localized between intraperitoneal adhesions. They usually present in women in the third and fourth decades of life with a history of prior pelvic or abdominal surgery, especially months to 20 years ago. PICs have low mortality and the potential for high morbidity. Transvaginal ultrasound with color Doppler has an important role in the differential diagnosis. Also, a very important role is played by CA 125 plasma level or use of the ROMA algorithm. But thanks to laparoscopy and the possibility of biopsy from suspicious lesions the correct diagnosis can be established. Treatment of PICs depends individually on the patient’s condition, symptoms, other diseases, and desire for procreation. Among other contemplated are hormonal oral contraceptive, an image-guided aspiration, minimally invasive or open surgery. The issue of diagnosis and treatment of PICs requires the continuation of multicentre, randomized clinical trials to find and standardize effective, personalized treatments for PICs.

Abstract

Peritoneal inclusion cysts (PICs) are benign multilocular cysts that consist of fluid localized between intraperitoneal adhesions. They usually present in women in the third and fourth decades of life with a history of prior pelvic or abdominal surgery, especially months to 20 years ago. PICs have low mortality and the potential for high morbidity. Transvaginal ultrasound with color Doppler has an important role in the differential diagnosis. Also, a very important role is played by CA 125 plasma level or use of the ROMA algorithm. But thanks to laparoscopy and the possibility of biopsy from suspicious lesions the correct diagnosis can be established. Treatment of PICs depends individually on the patient’s condition, symptoms, other diseases, and desire for procreation. Among other contemplated are hormonal oral contraceptive, an image-guided aspiration, minimally invasive or open surgery. The issue of diagnosis and treatment of PICs requires the continuation of multicentre, randomized clinical trials to find and standardize effective, personalized treatments for PICs.

Get Citation

Keywords

peritoneal inclusion cysts; PIC; adhesions; infertility; ascites

About this article
Title

Peritoneal inclusion cysts as a diagnostic and treatment challenge

Journal

Ginekologia Polska

Issue

Vol 92, No 8 (2021)

Article type

Review paper

Pages

583-586

Published online

2021-08-11

DOI

10.5603/GP.a2021.0142

Pubmed

34541630

Bibliographic record

Ginekol Pol 2021;92(8):583-586.

Keywords

peritoneal inclusion cysts
PIC
adhesions
infertility
ascites

Authors

Agata Natkanska
Magdalena A. Bizon-Szpernalowska
Tomasz Milek
Wlodzimierz Sawicki

References (11)
  1. Jones SA, Salicco JM, Byers MS. Pelvic pain and history of previous pelvic surgery. Proc (Bayl Univ Med Cent). 2003; 16(1): 121–122.
  2. Singh A, Sehgal A, Mohan H. Multilocular peritoneal inclusion cyst mimicking an ovarian tumor: A case report. J Midlife Health. 2015; 6(1): 39–40.
  3. Vallerie A, Lerner J, Wright J, et al. Peritoneal Inclusion Cysts. Obstetrical & Gynecological Survey. 2009; 64(5): 321–334.
  4. Veldhuis WB, Akin O, Goldman D, et al. Peritoneal inclusion cysts: clinical characteristics and imaging features. Eur Radiol. 2013; 23(4): 1167–1174.
  5. Ho-Fung V, Jaimes CE, Pollock AN. Peritoneal inclusion cyst. Pediatr Emerg Care. 2011; 27(5): 430–431.
  6. Sanges M, Pellegrini L, Imperatore N, et al. Peritoneal inclusion cysts in Crohn's disease. Eur J Gastroenterol Hepatol. 2019; 31(8): 1070–1072.
  7. Galiatsatos P, Foulkes WD. Familial adenomatous polyposis. Am J Gastroenterol. 2006; 101(2): 385–398.
  8. Su MH, Cho SW, Kung YS, et al. Update on the differential diagnosis of gynecologic organ-related diseases in women presenting with ascites. Taiwan J Obstet Gynecol. 2019; 58(5): 587–591.
  9. Vallerie AM, Hsieh T, Baxi LV. Peritoneal inclusion cyst: effects on fertility and antepartum course. Obstet Gynecol. 2008; 112(2 Pt 2): 498–500.
  10. Lee SW, Lee SJ, Jang DG, et al. Comparison of laparoscopic and laparotomic surgery for the treatment of peritoneal inclusion cyst. Int J Med Sci. 2012; 9(1): 14–19.
  11. Fujimoto Y, Takahashi H, Horie K, et al. Rapid Growth of Pelvic Cyst during Pregnancy: A Case Report. Case Rep Obstet Gynecol. 2019; 2019: 3120921.

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