Diagnosis and Management of an Unusual Cyst 3 Years After Sacrocolpopexy.
J Obstet Gynaecol Can
; 42(4): 500-503, 2020 Apr.
Article
in En
| MEDLINE
| ID: mdl-31383538
ABSTRACT
BACKGROUND:
Peritoneal inclusion cysts (PICs) are uncommon tumours that can pose diagnostic challenges. This report describes an unusual etiology and management of recurrent pelvic organ prolapse. CASE A 48-year-old premenopausal woman presented with recurrent prolapse and urinary frequency after total abdominal hysterectomy and synthetic mesh sacrocolpopexy. On examination, a stage II rectoenterocele was noted. Her post-void residual was 760 mL as measured by bladder scanner, discrepant with in-and-out catheterization. Pelvic ultrasound revealed a 19-cm cystic pelvic mass. At laparoscopy a PIC was identified, and cystectomy, uterosacral plication, and Moschcowitz culdoplasty were performed. Complete symptom resolution was documented at 4 weeks and 3 months postoperatively.CONCLUSION:
PICs should be included in the differential diagnosis of recurrent prolapse. Prolapse symptoms attributable to PICs can be treated with laparoscopic cystectomy.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Sacrococcygeal Region
/
Gynecologic Surgical Procedures
/
Surgical Mesh
/
Laparoscopy
/
Cysts
/
Pelvic Organ Prolapse
Type of study:
Diagnostic_studies
/
Prognostic_studies
Limits:
Female
/
Humans
/
Middle aged
Language:
En
Journal:
J Obstet Gynaecol Can
Journal subject:
GINECOLOGIA
/
OBSTETRICIA
Year:
2020
Type:
Article