Korean Journal of Radiology

  • 제2권3호
  • /
  • Pages.164-170
  • /
  • 2001
  • /
  • 1229-6929(pISSN)
  • /
  • 2005-8330(eISSN)
대한영상의학회 (The Korean Society of Radiology)
권호 표지

Sclerotherapy of Peritoneal Inclusion Cysts: Preliminary Results in Seven Patients

  • Jun Yong Jeong (Department of Radiology, Seoul National University College of Medicine, and the Institute of Radiation Medicine, SNUMRC) ;
  • Seung Hyup Kim (Department of Radiology, Seoul National University College of Medicine, and the Institute of Radiation Medicine, SNUMRC)
  • 투고 : 2001.02.14
  • 심사 : 2001.07.23
  • 발행 : 2001.09.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objective: To evaluate the technical feasibility and the clinical effectiveness of sclerotherapy for the treatment of peritoneal inclusion cysts (PICs). Materials and Methods: Between June 1996 and February 2001, eight PICs in seven female patients aged 28-43 (mean, 36) years were instilled with sclerosant (povidone-iodine in three, ethanol in three, both povidone-iodine and ethanol in one). All seven patients subsequently experienced less abdominal pain. After drainage via an 8.5-Fr pigtail catheter inserted in the PICs (transabdominally in six cases, transvaginally in one), sclerosant equivalent in volume to about one-third that of drained fluid was introduced daily until the drained volume was less than 5ml. Follow-up by means of clinical procedures and ultrasound was performed every three months, at which time the success rate, possible complications and recurrence were determined. Results: Sclerotherapy was technically successful in all seven patients, though immediately after the procedure, minor complications were noted in three patients (mild pain in two, mild fever in one). During the follow-up of 4-60 (mean, 24.7) months, sclerotherapy proved successful and without long-term complications in all seven patients: lower abdominal pain disappeared and the diameter of the cysts decreased more than 50%, with complete regression in four cases. During the follow-up period there was no recurrence. Conclusion: Sclerotherapy following catheter insertion is technically feasible and effective for the treatment of PICs.

키워드

과제정보

This study was supported in part by the 2000 BK21 Project for Medicine, Dentistry and Pharmacy.

참고문헌

  1. Jain KA. Imaging of peritoneal inclusion cysts. AJR 2000;174:1559-1563 https://doi.org/10.2214/ajr.174.6.1741559
  2. Ross MJ, Welch WR, Scully RE. Multilocular peritoneal inclusion cysts (so-called cystic mesotheliomas). Cancer 1989;64:1336-1346 https://doi.org/10.1002/1097-0142(19890915)64:6<1336::AID-CNCR2820640628>3.0.CO;2-X
  3. McFadden DE, Clement PB. Peritoneal inclusion cysts with mural mesothelial proliferation: A clinicopathological analysis of six cases. Am J Surg Pathol 1986;10:844-854 https://doi.org/10.1097/00000478-198612000-00003
  4. Schneider V, Partridge JR, Gutierrez F, Hurt WG, Maizels MS, Demay RM. Benign cystic mesothelioma involving the female genital tract: report of four cases. Am J Obstet Gynecol 1983;145:355-359 https://doi.org/10.1016/0002-9378(83)90724-X
  5. Lipitz S, Seidman DS, Schiff E, Achiron R, Menczer J. Treatment of pelvic peritoneal cysts by drainage and ethanol instillation. Obstet Gynecol 1995;86:297-299 https://doi.org/10.1016/0029-7844(95)00157-M
  6. Sohaey R, Gardner TL, Woodward PJ, Peterson CM. Sonographic diagnosis of peritoneal inclusion cysts. J Ultrasound Med 1995;14:913-917 https://doi.org/10.7863/jum.1995.14.12.913
  7. Hoffer FA, Kozakewich H, Colodny A, Goldstein DP. Peritoneal inclusion cysts: ovarian fluid in peritoneal adhesions. Radiology 1988;169:189-191 https://doi.org/10.1148/radiology.169.1.3047785
  8. Gussman D, Thickman D, Wheeler JE. Postoperative peritoneal cysts. Obstet Gynecol 1986;68(3 Suppl):53S-55S
  9. Kim JS, Lee HJ, Woo SK, Lee TS. Peritoneal inclusion cysts and their relationship to the ovaries: evaluation with sonography. Radiology 1997;204:481-484 https://doi.org/10.1148/radiology.204.2.9240539
  10. Kurachi H, Murakami T, Maeda T, et al. Value of gonadotropinreleasing hormone agonist in diagnosing peritoneal pseudocysts. Acta Obstet Gynecol Scand 1996;75:294-297 https://doi.org/10.3109/00016349609047105
  11. Takeuchi K, Kitazawa S, Kitagaki S, Mauro T. Conservative management of post-operative peritoneal cysts associated with endometriosis. Int J Gynecol Obstet 1998;60:151-154 https://doi.org/10.1016/S0020-7292(97)00253-1
  12. Rosai J. Peritoneum, retroperitoneum, and related structures. In Rosai J. Ackerman's surgical pathology. St. Louis: Mosby, 1996:2137
  13. Cancelmo RP. Sonographic demonstration of multilocular peritoneal inclusion cyst. J Clin Ultrasound 1983;11:334-335 https://doi.org/10.1002/jcu.1870110612
  14. Lees RF, Feldman PS, Brenbridge AN, Anderson WA, Buschi AJ. Inflammatory cysts of the pelvic periteum. AJR 1978;131:633-636 https://doi.org/10.2214/ajr.131.4.633
  15. Kurachi H, Murakami T, Nakamura H, et al. Imaging of peritoneal psuedocysts: value of MR imaging compared with sonography and CT. AJR 1993;160:589-591 https://doi.org/10.2214/ajr.161.3.8352112
  16. Hederstrom E, Forsberg L. Entrapped ovarian cyst-an unusual case of persistent abdominal pain. Acta Radiol 1990;31:285-286 https://doi.org/10.1177/028418519003100311
  17. Fleischer AC, Tait D, Mayo J, Burnett L, Simpson J. Sonographic features of ovarian remnants. J Ultrasound Med 1998;17:551-555 https://doi.org/10.7863/jum.1998.17.9.551
  18. Komickx PR, Renaer M, Brosens IA. Origin of peritoneal fluid in women: an ovarian exudation product. Br J Obstet Gynaecol 1980;87:177-183 https://doi.org/10.1111/j.1471-0528.1980.tb04514.x
  19. Hanna RM, Dahniya MH. Aspiration and sclerotherapy of symptomatic simple renal cysts: value of two injections of a sclerosing agent. AJR 1996;167:781-783 https://doi.org/10.2214/ajr.167.3.8751700
  20. Simmonetti G, Profili S, Sergiacomi GL, Meloni GB, Orlacchio A. Percutaneous treatment of hepatic cysts by aspiration and sclerotherapy. Cardiovasc Intervent Radiol 1993;16:81-84 https://doi.org/10.1007/BF02602983
  21. Troiano RN, Taylor KJ. Sonographically guided therapeutic aspiration of benign-appearing ovarian cysts and endometriomas. AJR 1998;171:1601-1605 https://doi.org/10.2214/ajr.171.6.9843295
  22. Cho YS, Lee HK, Ahn IM et al. Sonographically guided ethanol sclerotherapy for benign thyroid cysts: results in 22 patients. AJR 2000;174:213-216 https://doi.org/10.2214/ajr.174.1.1740213
  23. Zuckerman DA, Yeager TD. Percutaneous ethanol sclerotherapy of postoperative lymphoceles. AJR 1997; 169: 433-437 https://doi.org/10.2214/ajr.169.2.9242748
  24. Philip G, Reilly AL. Benign cystic mesothelioma. Br J Obstet Gynaecol 1984;91:932-938 https://doi.org/10.1111/j.1471-0528.1984.tb03712.x
  25. Katsube Y, Mukai K, Silverberg SG. Cystic mesothelioma of the peritoneum: a report of five cases and a review of the literature. Cancer 1982;50:1615-1622 https://doi.org/10.1002/1097-0142(19821015)50:8<1615::AID-CNCR2820500826>3.0.CO;2-K
  26. Miles JM, Hart WR, McMahon JT. Cystic mesothelioma of the peritoneum. Report of a case with multiple recurrences and a review of the literature. Cleve Clin Q 1986;53:109-114 https://doi.org/10.3949/ccjm.53.1.109
  27. Kairuloma M, Leinonen A, Stanlberg M, Paivansalo M, Kiviniemi H, Siniluoto T. Percutaneous aspiration and sclerotherapy for symptomatic hepatic cysts. Ann Surg 1989;210:208-215  https://doi.org/10.1097/00000658-198908000-00012