Successful excision of a retrorectal cyst through trans-sacral approach: A case report
| Autor: | Ameera Balhareth, Tlal Matouq Alsofyani, Mohammed Yousef Aldossary, Faisal Fahd AlQahtani, Khalid Sabr |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Rectum Malignancy Asymptomatic Article Lesion 03 medical and health sciences 0302 clinical medicine Tailgut cyst parasitic diseases medicine Cyst Posterior trans-sacral resection Retrorectal cyst medicine.diagnostic_test business.industry Magnetic resonance imaging Epidermoid cyst medicine.disease Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology medicine.symptom Presentation (obstetrics) business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Retrorectal cysts are rare congenital cystic lesions commonly seen in middle-aged women. • A 38-year-old woman with retrorectal cyst underwent trans-sacral resection. • She showed no postoperative complications. • Trans-sacral resection provides adequate exposure of the posterior retrorectal cyst. Introduction Retrorectal cysts are rare congenital cystic lesions usually diagnosed in middle-aged women. They are generally asymptomatic; however, local pressure may result in complications. Pain or discomfort in the pelvic, sacral, lower back or perianal area are the most common symptoms. The diagnosis is difficult, and multidisciplinary management is required. An epidermoid cyst is the most common type. Surgical resection is the main treatment, and 3 operative approaches are commonly used: abdominal, trans-sacral, and combined abdominosacral. The selection of the approach depends on the nature and location of the lesion. Here, we present a case that demonstrates the trans-sacral approach to a retrorectal cyst is a feasible option in terms of safety and minimal invasiveness for selected patients with this rare type of retrorectal cystic lesion. Presentation of case A 38-year-old woman with no comorbidities incidentally showed a retrorectal cyst on magnetic resonance imaging performed during pregnancy. The patient underwent surgical resection under general anesthesia, trans-sacral incision was performed, the posterior rectum exposed, and the cyst removed. No complications were seen in the postoperative period. Discussion Posterior trans-sacral resection (Kraske) is preferred for patients with posterior retrorectal cyst because it provides adequate exposure. Conclusion Posterior trans-sacral resection allows proximal extension for elimination of the infection and in cases of adherence of the cyst to surrounding structures or in malignancy, which require en bloc resection. |
| Databáze: | OpenAIRE |
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