{"paper_id":"5bf1d0e9-747d-4e75-afe5-a9b9f47a659d","body_text":"Abstract\nBackground\nPelvic peritoneal inclusion cysts are rarely encountered in practice.\nPurpose\nWe report four cases with pelvic peritoneal inclusion cysts with their management.\nMethods\nFemale patients with history of abdominal pain and infertility were diagnosed with peritoneal inclusion cyst on ultrasound.\nResults\nThey were operated by laparoscopy or laparotomy.\nConclusions\nPeritoneal cysts are rare in practice. They are related to endometriosis and adhesions of previous surgeries or infections. They are diagnosed on ultrasound by irregular cyst-like structure separable of the ovary. It is better to be surgically removed to avoid recurrence especially if persistent on conservative management. During surgery deroofing is needed with marsupilization with out dissection of the cyst to avoid retroperitoneum structures injury or ultrasound guided aspiration under sedation. If diagnosis is missed on ultrasound, during surgery it is suspected by puncture and evaluation of the cavity for normal peritoneum of douglas pouch with separable ovary or thin transparent cyst wall with no plane of separation for dissection from roof especially if frozen pelvis by adhesions. It is in opposite to the thick wall of ovarian tissue on cystectomy with identifiable plane of dissection.\nSimilar content being viewed by others\nReferences\nJain KA. Imaging of peritoneal inclusion cysts. Am J Roentgenol. 2000;174:1559–63. doi:10.2214/ajr.174.6.1741559.\nHoffer FA, Kozakewich H, Colodny A, et al. Peritoneal inclusion cysts: ovarian fluid in peritoneal adhesions. Radiology. 1988;169:189–91.\nKoninckx PR, Renaer M, Brosens IA. Origin of peritoneal fluid in women: an ovarian exudation product. Br J Obstet Gynaecol. 1980;87:177–83.\nVerger C, Luger A, Moore HL, et al. 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Int J Med Sci. 2012;9(1):14–9.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nEthics declarations\nConflict of interest\nThe author declares no conflict of interest.\nEthical Standard\nAll procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.\nInformed Consent\nInformed consent was obtained from the patient included in the study.\nEthical Disclosure\nThe author declares that the procedures followed were in accordance with the regulations of the relevant clinical research ethics committee and with those of the Code of Ethics of the World Medical Association (Declaration of Helsinki).\nConfidentiality of Data\nThe author declares that they have followed the protocols of their work center on the publication of patient data.\nRight to Privacy and Informed Consent\nThe author has obtained the written informed consent of the patients or subjects mentioned in the article. The corresponding author is in possession of this document.\nRights and permissions\nAbout this article\nCite this article\nEl-Agwany, A.S. Pelvic Peritoneal Inclusion Cyst: Ultrasound Diagnosis and Management . Indian J Gynecol Oncolog 15, 23 (2017). https://doi.org/10.1007/s40944-017-0116-2\nReceived:\nRevised:\nAccepted:\nPublished:\nDOI: https://doi.org/10.1007/s40944-017-0116-2","source_license":"CC0","license_restricted":false}