Retroperitoneal ovarian cyst infected as a cause of recurrent peritonitis: A case report

Abstract

Introduction: Retroperitoneal mucinous cystadenoma is an extremely rare benign entity whose pathogenesis has not been well understood. The clinical presentation and symptoms vary greatly and depend largely on the size and location of the lesion. 

Objective: To describe a clinical case of an infected retroperitoneal ovarian cyst as a cause of recurrent peritonitis. 

Material and methods: Retrospective descriptive study, presentation of a clinical case of an infected retroperitoneal ovarian cyst as a cause of recurrent peritonitis. 

Results: The case of a woman with a clinical picture of pain in the lower hemiabdomen of 15 days of evolution irradiated towards the inguinal region and right thigh, accompanied by thermal rise, presents two previous laparoscopic surgeries for acute appendicitis plus acute cholecystitis and abscess in the fossa. right iliac and pelvis 45 and 30 days ago respectively. A CT scan was performed, finding a heterogeneous mass in the retroperitoneum. An exploratory laparotomy revealed an abscessed right retroperitoneal ovarian cyst, with vascular compromise, for which an en bloc excision of the ovarian, ovary and right fallopian tube was performed. The histopathological result reports ovarian mucinous cystadenoma without signs of malignancy. 

Conclusions: The case of a woman with a clinical picture of pain in the lower hemiabdomen of 15 days of evolution irradiated towards the inguinal region and right thigh, accompanied by thermal rise, presents two previous laparoscopic surgeries for acute appendicitis plus acute cholecystitis and abscess in the fossa. right iliac and pelvis 45 and 30 days ago respectively. A CT scan was performed, finding a heterogeneous mass in the retroperitoneum. An exploratory laparotomy revealed an abscessed right retroperitoneal ovarian cyst, with vascular compromise, for which an en bloc excision of the ovarian, ovary and right fallopian tube was performed. The histopathological result reports ovarian mucinous cystadenoma without signs of malignancy