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Tailgut cyst, management of a rare perianal mass: a case report.

AME Case Rep

November 2024

Department of General and Digestive Surgery, IRIS Sud Hospitals, Brussels, Belgium.

Background: A perianal mass has a wide range of possible diagnoses, including tailgut cysts. Tailgut cysts are congenital, and their development is slow. Because its most common placement is retro-rectal, it is extremely rare to find it on the perianal level only.

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Retrorectal cystic hamartomas ("Tailgut cysts") are rare developmental cysts that appear in the retrorectal space, arising from aberrant remnants of the post-anal primitive gut in case of an incomplete embryogenetic involution. We present the case of a 30-year-old woman with a history of chronic lower abdominal pain. Other digestive symptoms, like rectal fullness, constipation, pain on defecation, rectal bleeding or genitourinary obstruction symptoms, were not associated.

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Background: This study aimed to evaluate the risk factors associated with rectal perforation during various surgical interventions for presacral cysts.

Methods: This retrospective study included 73 participants from 2013 to 2023 who met the inclusion criteria. Participants underwent surgical treatments through transabdominal, perineal, or combined approaches.

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Retrorectal tumors, although rare, pose diagnostic and treatment challenges due to their nonspecific symptoms and complex anatomical location. This single-center case series reports short-term outcomes of laparoscopic transabdominal resection as a surgical approach for large retrorectal tumors. Between 2017 and 2020, five patients underwent this procedure.

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Mature cystic teratoma mimicking a tailgut cyst in an adolescent female: a case report.

J Surg Case Rep

November 2024

Surgery Department, Darwish Nazal Governmental Hospital, Ministry of Health, Darwish Nazal Hospital St., Qalqileyah 00970, Palestine.

Article Synopsis
  • Presacral tumors are rare, especially in children, and can come from different cell types that develop during embryonic growth.
  • A case study of a 13-year-old girl showed initial imaging suggested a tailgut cyst, but surgery revealed it was actually a mature cystic teratoma, which is unusual for her age.
  • The surgery required careful dissection due to adhesions, and the diagnosis highlights the importance of surgical exploration over just imaging to accurately identify and treat presacral masses.
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