American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: Editor-in-chief: Samy, I. McFarlane
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American Journal of Medical Case Reports. 2016, 4(12), 371-375
DOI: 10.12691/ajmcr-4-12-1
Open AccessCase Report

Giant Peritoneal Inclusion Cyst of the Abdominopelvic Cavity, a Very Rare Case Report and Literature Review

Jhon Paul Castillo León1, , Mario Montalvo Burbano2 and María del Cisne Ordoñez Izquierdo3,

1General Surgeon, Department of General Surgery of Metropolitan Hospital, Quito, Ecuador

2Surgical Oncologist and General Surgeon, General Surgery Department of Metropolitan Hospital, Quito, Ecuador

3General Medical, Isidro Ayora Hospital, Loja, Ecuador

Pub. Date: December 21, 2016

Cite this paper:
Jhon Paul Castillo León, Mario Montalvo Burbano and María del Cisne Ordoñez Izquierdo. Giant Peritoneal Inclusion Cyst of the Abdominopelvic Cavity, a Very Rare Case Report and Literature Review. American Journal of Medical Case Reports. 2016; 4(12):371-375. doi: 10.12691/ajmcr-4-12-1


The objective of this article is to present a rare case such as peritoneal inclusion cyst or a benign cyst mesothelioma, a rare injury that predominantly affects women of reproductive age, with a still unknown etiology. Materials and Methods: We present the clinical case of a 36-year-old women, asymptomatic, with a pelvic ultrasound reported free abdominal fluid in a medical checkup. In her medical history revealed that six years ago the patient underwent laparotomy for complicated appendicitis with peritonitis. The abdominal and pelvic scan showed a giant cystic lesion of 20 cm x 17 cm x 10 cm, which occupies part of the abdomen and pelvis. Result: surgical treatment was decided and the patient underwent laparotomy, achieving the complete elimination of cystic mass and small bowel resection joined the cyst was performed. The histopathology report confirmed the diagnosis of peritoneal inclusion cyst. Conclusion: location, type of injury and behavior of mesothelioma cysts should be considered as they have a high recurrence rate and are often asymptomatic.

peritoneal inclusion cyst benign cystic mesothelioma laparotomy

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[1]  Bannura G., Contreras J., Peñaloza P., Quiste mesotelial simple gigante abdomino-pélvico, Chile, Rev. chilena de Cirugía, Febrero 2008, Vol 60 n.-8, pág. 67-70.
[2]  Moreno R, Ávila M, Lizarbe R, Lozano M., Salva F., Quiste de inclusión peritoneal multilocular: una extraña lesión pélvica, España, Prog. Obstet. Ginecol. 2004; 47(7): 340-3.
[3]  Levy A, Arnaiz J, Shaw J, Sobin L, Primary Peritoneal Tumors: Imaging Features with Pathologic Correlation. RadioGraphics 2008; 28: 583-607.
[4]  Safioleas M., Constantinos K, Michael S, Konstantinos G, Constantinos S, Alkiviadis K: Benign multicystic peritoneal mesothelioma: a case report and review of the literature. World J Gastroenterol 2006, 12(35):5739-5742.
[5]  Cosme da Silva J., Bezerra M, Souza R, Cordeiro A., Lacerda A., Cordeiro I, et al, The Cystic Mesothelioma, International Archives of Medicine, Brazil, 2015, Vol. 8 No. 107.
[6]  Ruiz-Elizondo L., Pilar-Suárez P, Romero B., Valadez M., Sarmiento M., Sánchez M., Mesotelioma multiquistico peritoneal benigno: reporte de un caso pediátrico, Anales de Radiología México 2013; 3: 201-204.
[7]  Bernstein E., Tate A, Arin D., Rutherford T., Benign multicystic mesothelioma: a case report of three sisters, Rare Tumors 2009; volume 1: pag. 46
[8]  Telli E, Oge T, Sinan S, Tarik O., Giant peritoneal inclusion cyst mimicking ovarian cyst, Asian Pacific Journal of Reproduction, 2013; 2(4). 333-334.
[9]  Elbouhaddouti H., Bouassria A, Ouadii M, et al, Benign cystic mesothelioma of the peritoneum: a case report and literature review, World Journal of Emergency Surgery 2013, 8: 43.
[10]  Mazziotti S. , D'Angelo T., Racchiusa S., Salamone I., Blandino A., Ascenti G., Peritoneal inclusion cysts in patients affected by Crohn's disease: magnetic resonance enterography findings in a case series, Clinical Imaging 40, 2016, 152-155.
[11]  García R., Mayor F, Fernández M, López-Rodríguez A, Martínez R, Fernández A, Mesotelioma multiquístico peritoneal benigno recidivante: abordaje de esta entidad tan poco frecuente, Academia Mexicana de Cirugía A.C, 2015, 0009-7411.
[12]  Omeroglu A., Husain A., Multilocular Peritoneal Inclusion Cyst (Benign Cystic Mesothelioma), Arch Pathol Lab Med. Vol 125, August 2001.
[13]  Woo Lee S, Jong Lee S, Gyu Jang D, et al , Comparison of Laparoscopic and Laparotomic Surgery for the Treatment of Peritoneal Inclusion Cyst, International Journal of Medical Sciences, 2012; 9(1): 14-19.
[14]  Rosen D., Sutton C., Use of the potassium titanyl phosphate (KTP) laser in the treatment of benign multicystic peritoneal mesothelioma Br J Obstet Gynaecol, 1999, 106 505-506.
[15]  Lacoponi S., Calleja J., Hernandez G., Sainz de la Cuesta R., Asymptomatic peritoneal carcinomatosis originating from benign cystic peritoneal mesothelioma, Gynecologic Oncology Unit, Ecancer 2015, 9: 605.