Peritoneal inclusion cyst: effects on fertility and antepartum course.
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.
Vallerie
Amy M
AM
Department of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, Columbia University Medical Center, New York, NY 10032, USA.
Hsieh
Tiffany
T
Baxi
Laxmi V
LV
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