Obstet Gynecol Sci.  2013 Mar;56(2):126-129. 10.5468/OGS.2013.56.2.126.

Multicystic benign mesothelioma of the pelvic peritoneum presenting as acute abdominal pain in a young woman

• Hong JH
• Jeon S
• Lee JH
• Nam KH
• Bae DH

• KMID: 1425660
• DOI: http://doi.org/10.5468/OGS.2013.56.2.126

Abstract

Multicystic benign mesothelioma (MBM) of the peritoneum is a very rare condition. Since the first description of MBM in 1979, approximately 100 cases have been reported. This is a case report of MBM of the pelvic peritoneum presenting as acute abdominal pain in a young woman. Laparoscopy confirmed multiple grapelike clusters of cysts that originated in the peritoneum of the rectouterine pouch and histopathologic diagnosis was confirmed as MBM of the pelvic peritoneum. We hope to alert gynaecologists of the diagnostic and therapeutic approaches to MBM which can be accomplished by laparoscopy.

Keyword

Abdominal pain; Acute; Benign; Mesothelioma

MeSH Terms

Abdominal Pain
Douglas' Pouch
Female
Humans
Laparoscopy
Mesothelioma
Peritoneum

Figure

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  Fig. 1 (A) Large multilocular hypoechogenic cysts with irregular border on vaginal ultrasonography. (B) Contrast enhanced computed tomography with a hypodense, multicystic mass with contact to the uterus without infiltrative growth, ascites or lymph node involvement.

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  Fig. 2 (A) Multiple transparent cysts. (B) Multiple cysts resembling a lymphangioma (H&E, ×40). (C) The flat shape of the mesothelioma lining the cyst (H&E, ×400). (D) The lining cells are diffuse positive for calretinin (×400).

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