Open AccessTwo cases of giant peritoneal inclusion cysts requiring treatment after total laparoscopic hysterectomy
Author(s) -
Katsumi Kozasa,
Yumi Takemoto,
Takeshi Goto,
Mariya Kobayashi,
Hitomi Sakaguchi,
Sho Fujiwara,
Fuyuki Ichikawa,
Misako Kuroda,
Naoko Komura,
Asuka Tanaka,
Kumi Masuda,
Hiroyuki Otsuka,
Takeshi Yokoi
Publication year - 2020
Publication title -
journal of surgical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.14
H-Index - 3
ISSN - 2042-8812
DOI - 10.1093/jscr/rjaa506
Subject(s) - medicine , adhesion , surgery , endometriosis , laparoscopic surgery , hysterectomy , laparoscopic hysterectomy , laparoscopy , abdominal cavity , peritoneal cavity , gynecology , chemistry , organic chemistry
Peritoneal inclusion cysts (PICs) often develop in post-operative patients. Since the incidence of adhesions is lower with laparoscopic surgery than with open surgery, PICs are less likely to occur in the former. Although post-operative adhesions or PICs rarely develop after laparoscopic surgery (such as total laparoscopic hysterectomy: TLH), we encountered two cases of giant PICs with abdominal pain after TLH. In Case 1, strong adhesion was already present when TLH was performed. Therefore, this case may have been predisposed to the development of adhesions in the abdominal cavity. However, no adhesions were observed during TLH in case 2, and there were no risk factors, such as pre-operative adhesions and endometriosis. Therefore, adhesions and PICs may develop even after TLH, and approaches need to be considered for their prevention.