Peritoneal inclusion cyst
History of previous cesarean section and chronic lower abdominal pain with a feeling of fullness.
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There is a large thin-walled cystic lesion occupying the pelvis and lower abdomen insinuating between the surrounding structures with multiple enhancing thin septation, both ovaries are invaginated into the cyst without a clear connection to the cyst.
No enhancing mural nodule is noted within the mentioned cyst or restricted diffusion.
In the siting of the previous history of abdominal surgery in a premenopausal period and imaging findings of the septated cystic structure without enhancing nodule, restricted diffusion, thick wall or soft tissue mass, so peritoneal inclusion cyst should be kept in mind.