title: Transvaginal ultrasound-guided aspiration and surgical starch sclerosis therapy in recurrent pelvic inclusion cysts--report of two cases.
abstract: Pelvic inclusion cyst is one of the complications of major abdominal surgery. Treatment of the symptomatic mass is either surgical or needle aspiration. However, recurrence of the condition is still not uncommon. Repeated surgery or aspiration could result in serious morbidity. We report two cases of recurrent pelvic inclusion cyst which were successfully treated with transvaginal aspiration and sclerosing therapy with starch powder from surgical gloves and normal saline solution. The aspirations were guided by transvaginal ultrasound and on local paracervical anesthesia. Starch and normal saline solution were injected through the aspiration needle for irrigation three times. One patient with a large cyst needed two treatment courses, the other only one. Both patients had no discomfort both intra- and postoperatively. A Follow-up ultrasonography proved no recurrence to date.
authors.affiliation: Department of Obstetrics & Gynecology, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.
authors.forename: M Y
authors.initials: MY
authors.lastname: Chang
authors.forename: F R
authors.initials: FR
authors.lastname: Huang
authors.forename: Y K
authors.initials: YK
authors.lastname: Soong
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D003560:Cysts / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D005260:Female; D006801:Humans; D010388:Pelvis; D012008:Recurrence; D012597:Sclerosing Solutions / Q000627:therapeutic use*; D015911:Sclerotherapy; D013213:Starch / Q000627:therapeutic use*; D013396:Suction / Q000379:methods; D014463:Ultrasonography / Q000379:methods
chemical_list: D012597:Sclerosing Solutions; D013213:Starch