Peritoneal inclusion cysts in pregnancy, a diagnostic challenge.

Emilie Hitzerd, Hitzerd E, Anneke J C M Jeurgens-Borst, Jeurgens-Borst AJ, Johanna M A Pijnenborg
BMJ case reports · 2014 · doi:10.1136/bcr-2014-204963 · PMID:24928933 · PMC4069764
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Abstract

A cystic pelvic mass detected during pregnancy is not uncommon, but can be a diagnostic challenge. Most of these pelvic masses are benign ovarian cysts and resolve spontaneously. However, rare non-ovarian causes can complicate the diagnostic and therapeutic management. In this report an unusual case is presented of a 27-year-old pregnant woman with an atypical multicystic lesion in the pelvis, seen on routine first trimester ultrasound. A laparoscopic exploration was performed to rule out ovarian malignancy, and after histological analysis she was diagnosed with peritoneal inclusion cysts. The diagnostic and therapeutic challenges inherent to this rare non-ovarian disease are addressed in this case report.

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