{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T12:12:58Z","timestamp":1789560778801,"version":"build-2803163510"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 2","license":[{"start":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T00:00:00Z","timestamp":1775520000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Peritoneal inclusion cysts (PICs) are benign, multilocular fluid-filled lesions that predominantly affect women of reproductive age, often arising after abdominal surgery or chronic inflammation. We report a case of a 28-year-old female presenting with chronic left upper-quadrant abdominal pain for 1 year. Radiological evaluation revealed a large cystic lesion closely abutting the left adrenal gland and adjacent organs, creating a diagnostic dilemma regarding its tissue of origin. The patient was planned for diagnostic laparoscopy, which revealed a large, thin-walled cyst containing clear serous fluid. The lesion was not arising from the suprarenal gland or the pancreatic tail. Complete excision of the cyst was performed, and histopathological examination confirmed the diagnosis of a PIC. Notably, the patient had no prior history of abdominal surgery, making this presentation particularly unusual. The postoperative course was uneventful, and at 6-month follow-up, the patient remained asymptomatic with no evidence of recurrence. This case highlights a rare suprarenal presentation of a PIC in a \u201cvirgin\u201d abdomen, closely mimicking adrenal and pancreatic cystic pathology on imaging despite normal endocrine evaluation. It underscores the importance of imaging \u2013 particularly ultrasonography and contrast-enhanced computed tomography of the abdomen and pelvis \u2013 in evaluating cystic lesions and differentiating PICs from Paraovarian cysts, hydrosalpinx, or ovarian malignancy based on anatomical location. However, due to significant imaging overlap with adrenal and pancreatic cystic lesions, histopathological confirmation remains essential. Diagnostic laparoscopy with complete excision was crucial in establishing the diagnosis, avoiding unnecessary adrenal resection, and ensuring a favorable outcome without early recurrence.<\/jats:p>","DOI":"10.4103\/aam.aam_4_26","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T06:01:17Z","timestamp":1775541677000},"page":"S286-S289","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Peritoneal Inclusion Cyst in an Unusual Location in a \u201cVirgin\u201d Abdomen: A Diagnostic Dilemma Expanding the Clinical Spectrum"],"prefix":"10.4103","volume":"25","author":[{"given":"Pronoti Rajagonda","family":"Patil","sequence":"first","affiliation":[{"name":"Department of General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sakshi Bharat","family":"Chelani","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,7]]},"reference":[{"key":"R1-20260916","doi-asserted-by":"crossref","first-page":"2642","DOI":"10.1016\/j.radcr.2025.02.037","article-title":"Uncovering a peritoneal inclusion cyst after surgery: A case report","volume":"20","author":"Haddar","year":"2025","journal-title":"Radiol Case Rep"},{"key":"R2-20260916","doi-asserted-by":"crossref","first-page":"110792","DOI":"10.1016\/j.ijscr.2024.110792","article-title":"A case report of a rare etiology of an abdominal cystic lesion in adults: Peritoneal inclusion cysts","volume":"126","author":"Taieb","year":"2025","journal-title":"Int J Surg Case Rep"},{"key":"R3-20260916","doi-asserted-by":"crossref","first-page":"1353","DOI":"10.1007\/s00404-018-4728-2","article-title":"Benign multicystic mesothelioma and peritoneal inclusion cysts: Are they the same clinical and histopathological entities? A systematic review to find an evidence-based management","volume":"297","author":"Rapisarda","year":"2018","journal-title":"Arch Gynecol Obstet"},{"key":"R4-20260916","doi-asserted-by":"crossref","first-page":"1336","DOI":"10.1002\/1097-0142(19890915)64:6<1336::AID-CNCR2820640628>3.0.CO;2-X","article-title":"Multilocular peritoneal inclusion cysts (so-called cystic mesotheliomas)","volume":"64","author":"Ross","year":"1989","journal-title":"Cancer"},{"key":"R5-20260916","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1097\/00000478-198810000-00001","article-title":"Multicystic mesothelioma. An analysis of pathologic findings and biologic behavior in 37 cases","volume":"12","author":"Weiss","year":"1988","journal-title":"Am J Surg Pathol"},{"key":"R6-20260916","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1093\/ajcp\/aqaa189","article-title":"Mesothelial cysts","volume":"155","author":"Karpathiou","year":"2021","journal-title":"Am J Clin Pathol"},{"key":"R7-20260916","doi-asserted-by":"crossref","first-page":"766","DOI":"10.5858\/2000-124-0766-URCOMO","article-title":"Unilocular retroperitoneal cyst of mesothelial origin presenting as a renal mass","volume":"124","author":"Smith","year":"2000","journal-title":"Arch Pathol Lab Med"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_4_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T12:00:47Z","timestamp":1789560047000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_4_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,7]]},"references-count":7,"journal-issue":{"issue":"Suppl 2","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_4_26","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,7]]},"assertion":[{"value":"2026-01-01","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-02","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}