2024, Number 1-4
Benign multicystic peritoneal mesothelioma. Case report
Full text
10.35366/118805
Language: Spanish
References: 10
Page: 30-35
PDF size: 305.39 Kb.
ABSTRACT
Introduction: benign multicystic peritoneal mesothelioma is the rarest peritoneal tumor, with around 200 published cases. Risk factors include endometriosis, pelvic inflammatory disease, abdominal surgery, with a high recurrence rate (50-60%). It usually forms from the pelvic peritoneum, being the peritoneal surface and posterior cul-de-sac, the most frequent location. Due to the lack of atypicality, the name "peritoneal inclusion cyst" has been proposed as a more appropriate term. Case report: 17-year-old female patient who began with abdominal pain in the pelvis, predominantly in the left iliac fossa, of low intensity. On physical examination there were no signs of abdominal irritation. An ultrasound was performed, reporting free fluid in the cul-de-sac (133 mL), ovaries and uterus without alterations. The control abdominal tomography reported abundant free fluid in the pelvic egg and right parietocolic slide. A diagnostic laparoscopy was scheduled, and four cysts were found in the pelvis, the largest measuring 12 cm, thin walls, containing capsules that were drained and extracted for histopathological and immunohistochemical study that described benign cystic mesothelioma. Patient with adequate post-surgical evolution. Conclusion: due to its low incidence, there is no consensus on follow-up or treatment; However, surgical resection persists as the mainstay of treatment, showing greater benefits with the laparoscopic approach.REFERENCES
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