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Benign mesothelioma of peritoneum presenting as a pelvic mass

Samina Asghar1, Navid Qureshi, Ali Awan

  • 1Department of Gyneacology, Unit-1, Sir Ganga Ram Hospital, Lahore. samina_asghar62@yahoo.com

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|November 6, 2008
PubMed

Insights

A large pelvic cyst was diagnosed as Multicystic Benign Mesothelioma (MBM) of the peritoneum. Surgical removal and intestinal repair led to a symptom-free recovery at 3 years.

Area of Science:

  • Gynecologic Oncology
  • Surgical Pathology
  • Abdominal Surgery

Background:

  • Chronic pelvic pain in women can be caused by various gynecologic and non-gynecologic conditions.
  • Multicystic Benign Mesothelioma (MBM) of the peritoneum is a rare neoplastic condition.

Observation:

  • A 40-year-old woman presented with chronic pelvic pain and a large, solitary, multiloculated pelvic cyst.
  • Laparotomy revealed dense adhesions, a right ovarian cyst, and multiple nodular deposits on the peritoneum and mesentery.

Findings:

  • The pelvic cyst was diagnosed as Multicystic Benign Mesothelioma (MBM) of the peritoneum.
  • Surgical management included total abdominal hysterectomy, bilateral oophorectomy, infracolic omentectomy, and small intestine resection with re-anastomosis due to intraoperative injury.

Implications:

  • This case highlights the importance of considering rare peritoneal lesions in the differential diagnosis of chronic pelvic pain.
  • Successful surgical management of MBM, even with extensive disease and complications, can lead to favorable long-term outcomes.
  • Further research into the pathogenesis and optimal management of peritoneal mesotheliomas is warranted.

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