Laparoscopic approach to tailgut cyst (retrorectal cystic hamartoma)
| Autor: | Jesús Peraza Casajús, Jorge Martín Gil, Antonio J. López-Farré, José de Jaime Guijarro, Teresa Sánchez Rodríguez, Ángel Ferrero Lomas, Martín Gascón Hove |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
retrorectal hamartoma Unusual Case lcsh:Surgery Retrorectal cystic hamartoma retroperitoneal tumour cysts Malignancy Asymptomatic 03 medical and health sciences 0302 clinical medicine Biopsy Presacral space medicine Back pain presacral space lcsh:RC799-869 Laparoscopy Congenital disease medicine.diagnostic_test business.industry Magnetic resonance imaging lcsh:RD1-811 medicine.disease Surgery 030220 oncology & carcinogenesis lcsh:Diseases of the digestive system. Gastroenterology 030211 gastroenterology & hepatology medicine.symptom business |
| Zdroj: | Journal of Minimal Access Surgery, Vol 15, Iss 3, Pp 262-264 (2019) Journal of Minimal Access Surgery |
| ISSN: | 0972-9941 |
| Popis: | Retrorectal cystic hamartomas, or tailgut cysts, are complex congenital cystic lesions which arise from embryologic tissues. Fewer than 200 cases have been reported worldwide, with women outnumbering men by 3:1. They are asymptomatic in 50% of the cases; the remainder present with back pain or mass effect as the most common symptoms. Malignant transformation rarely occurs. Guided biopsy is controversial, while surgery is the therapy of choice. We report the case of a 31-year-old woman complaining about perineal and vague lower abdominal pain, who was submitted to magnetic resonance imaging, which revealed a multilocular cystic, well-circumscribed retrorectal mass. Subsequently, laparoscopic excision was successfully accomplished. Operative time was 175 min. Intra- and post-operative course was uneventful. Hospital stay was 75 h. While any malignancy suspicion should lead to open surgery, given the risk of rupture, we support the benefits of laparoscopy may also be applied. |
| Databáze: | OpenAIRE |
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