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Laparoscopy-assisted resection of tailgut cysts: report of a case.

Lim SW, Huh JW, Kim YJ, Kim HR - Case Rep Gastroenterol (2011)

Bottom Line: The surgical specimens consisted of two fragments of fibrofatty tissues, unilocular cystic masses.Postoperative recovery was uneventful, and the patient was discharged after 3 days.In conclusion, surgical resection is recommended in the management of retrorectal tailgut cyst to establish a definite diagnosis and to rule out malignancy.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Chonnam National University Hwasun Hospital, Gwangju, South Korea.

ABSTRACT
Tailgut cysts, or retrorectal cystic hamartomas, are rare congenital developmental lesions, most commonly located in the retrorectal space, and are more common in women. We present a case of retrorectal tailgut cyst managed using a laparoscopic approach. A 36-year-old woman presented with incidentally detected retrorectal tumors during evaluation for a gallbladder polyp. Her past medical history revealed that she had undergone cesarean section twice. The tumor marker CA 19-9 level was 42.52 U/ml. CT of the pelvis with contrast and pelvic MRI revealed a 3.9 × 3.3 cm well-defined, homogeneous cystic mass in the right presacral area, and a 2.5 × 1.5 cm cystic mass in the precoccygeal space. The patient underwent laparoscopic exploration with a preoperative diagnosis of tailgut cysts based on radiological findings. The operative time was 90 min including 30 min of subsequent laparoscopic cholecystectomy without placement of additional trocars. The surgical specimens consisted of two fragments of fibrofatty tissues, unilocular cystic masses. The final pathologic diagnosis was tailgut cysts with no evidence of malignancy. Postoperative recovery was uneventful, and the patient was discharged after 3 days. In conclusion, surgical resection is recommended in the management of retrorectal tailgut cyst to establish a definite diagnosis and to rule out malignancy. The laparoscopic approach is a feasible and safe option.

No MeSH data available.


Related in: MedlinePlus

The macroscopic findings displayed an oval-shaped, gray-white appearance and the cysts was filled with a thick yellowish material.
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Figure 2: The macroscopic findings displayed an oval-shaped, gray-white appearance and the cysts was filled with a thick yellowish material.

Mentions: The surgical specimens consisted of two fragments of fibrofatty tissues, the larger presacral mass a unilocular cyst with a stalk of connective tissue, and measured 4 × 3.5 × 3 cm (fig. 2). The presacral and precoccygeal cysts were filled with thick, mucoid, yellowish-colored fluid. The inner surface of the cyst was irregular and yellow in color. Microscopically, the walls of the cyst were partially lined with stratified squamous epithelium and columnar epithelium (fig. 3). The final pathologic diagnosis was tailgut cysts and chronic cholecystitis. There was no evidence of malignancy.


Laparoscopy-assisted resection of tailgut cysts: report of a case.

Lim SW, Huh JW, Kim YJ, Kim HR - Case Rep Gastroenterol (2011)

The macroscopic findings displayed an oval-shaped, gray-white appearance and the cysts was filled with a thick yellowish material.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC3037990&req=5

Figure 2: The macroscopic findings displayed an oval-shaped, gray-white appearance and the cysts was filled with a thick yellowish material.
Mentions: The surgical specimens consisted of two fragments of fibrofatty tissues, the larger presacral mass a unilocular cyst with a stalk of connective tissue, and measured 4 × 3.5 × 3 cm (fig. 2). The presacral and precoccygeal cysts were filled with thick, mucoid, yellowish-colored fluid. The inner surface of the cyst was irregular and yellow in color. Microscopically, the walls of the cyst were partially lined with stratified squamous epithelium and columnar epithelium (fig. 3). The final pathologic diagnosis was tailgut cysts and chronic cholecystitis. There was no evidence of malignancy.

Bottom Line: The surgical specimens consisted of two fragments of fibrofatty tissues, unilocular cystic masses.Postoperative recovery was uneventful, and the patient was discharged after 3 days.In conclusion, surgical resection is recommended in the management of retrorectal tailgut cyst to establish a definite diagnosis and to rule out malignancy.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Chonnam National University Hwasun Hospital, Gwangju, South Korea.

ABSTRACT
Tailgut cysts, or retrorectal cystic hamartomas, are rare congenital developmental lesions, most commonly located in the retrorectal space, and are more common in women. We present a case of retrorectal tailgut cyst managed using a laparoscopic approach. A 36-year-old woman presented with incidentally detected retrorectal tumors during evaluation for a gallbladder polyp. Her past medical history revealed that she had undergone cesarean section twice. The tumor marker CA 19-9 level was 42.52 U/ml. CT of the pelvis with contrast and pelvic MRI revealed a 3.9 × 3.3 cm well-defined, homogeneous cystic mass in the right presacral area, and a 2.5 × 1.5 cm cystic mass in the precoccygeal space. The patient underwent laparoscopic exploration with a preoperative diagnosis of tailgut cysts based on radiological findings. The operative time was 90 min including 30 min of subsequent laparoscopic cholecystectomy without placement of additional trocars. The surgical specimens consisted of two fragments of fibrofatty tissues, unilocular cystic masses. The final pathologic diagnosis was tailgut cysts with no evidence of malignancy. Postoperative recovery was uneventful, and the patient was discharged after 3 days. In conclusion, surgical resection is recommended in the management of retrorectal tailgut cyst to establish a definite diagnosis and to rule out malignancy. The laparoscopic approach is a feasible and safe option.

No MeSH data available.


Related in: MedlinePlus