Massive peritoneal inclusion cyst with secondary abscessation

Author:

Pappas Christian P.123ORCID,Xu Zhengchao12,Hicks Gabrielle1,Sarofim Mina123,Wijayawardana Ruwanthi12,Morris David L.12

Affiliation:

1. Department of Surgery, Peritonectomy Unit St George Hospital Kogarah New South Wales Australia

2. Faculty of Medicine and Health The University of New South Wales Kensington New South Wales Australia

3. Faculty of Medicine and Health The University of Sydney Camperdown New South Wales Australia

Abstract

AbstractPeritoneal inclusion cysts are rare intra‐abdominal cystic lesions of controversial pathogenesis and nomenclature. Postulated to be of neoplastic or reactive origin, they are characterised by progressive expansion and variable symptomatology in classically reproductive‐aged females. Local recurrence is frequent while malignant transformation is plausible. Herein, we review a presentation of a massive peritoneal inclusion cyst with secondary abscessation and septic shock in a 58‐year‐old female, reviewing the available literature to highlight the potential acuity of this pathology, the standard of surgical care, and the need for caution by treating surgeons in its evaluation as an entirely benign process.

Publisher

Wiley

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