title: Peritoneal inclusion cyst: effects on fertility and antepartum course.
abstract: BACKGROUND
  Hormone changes are thought to influence the etiology and disease process of peritoneal inclusion cysts. The effects of fertility and pregnancy on preexisting cysts are unknown.
  
  
  METHODS
  A 29-year-old woman with recurrent peritoneal inclusion cyst and primary infertility conceived spontaneously after hysterosalpingogram. She presented in the first trimester with rapid, symptomatic enlargement of a 22-cm peritoneal inclusion cyst. Ultrasonogram-guided aspiration was performed. The remainder of her pregnancy and postpartum course were uncomplicated.
  
  
  CONCLUSIONS
  The presence of a large peritoneal inclusion cyst does not preclude fertility. Pregnancy, a hyperestrogenic state, together with rising human chorionic gonadotropin is a risk for recurrence or enlargement of a preexisting peritoneal inclusion cyst. After conservative management with cystocentesis, there was no further enlargement as pregnancy progressed.
authors.affiliation: Department of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, Columbia University Medical Center, New York, NY 10032, USA.
authors.forename: Amy M
authors.initials: AM
authors.lastname: Vallerie
authors.forename: Tiffany
authors.initials: T
authors.lastname: Hsieh
authors.forename: Laxmi V
authors.initials: LV
authors.lastname: Baxi
mesh_terms: D000328:Adult; D003560:Cysts / Q000503:physiopathology* / Q000601:surgery; D004715:Endometriosis / Q000503:physiopathology; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000503:physiopathology; D010532:Peritoneal Diseases / Q000503:physiopathology* / Q000601:surgery; D049590:Postpartum Period; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000503:physiopathology* / Q000601:surgery