Wide rectal duplication cyst in an adult resected by anterior approach: efficacy and recurrence

Ceriotti, Michela; Saccomani, Giorgia; Lacelli, Francesca; Saccomani, G

doi:10.1093/jscr/rjx115

Cited by 12 publications

(6 citation statements)

References 7 publications

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“…Computed tomography (CT) and magnetic resonance imaging (MRI), although less often used, are helpful in localizing and diagnosing complex duplications. [7][8][9] To conclude, rectal duplication simulating rectal prolapse is a rare entity. Every case of rectal prolapse should be examined carefully to rule out such anomalies.…”

Section: Discussionmentioning

confidence: 87%

Rectal duplication cyst mimicking rectal prolapse: A case report

Ahmad

Karar

Saleem

et al. 2021

J Pediatr Adolesc Surg

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Background: Gastrointestinal tract duplications are rare congenital malformations that are benign, presenting usually in childhood. Most common sites include the distal ileum and esophagus. Rectal presentation is quite uncommon and is usually cystic. Case Presentation: This is a case of a 3-year-old boy who came with rectal prolapse. On further examination and imaging investigations, a presacral cyst was located and a diagnosis of rectal duplication was made. The cyst was completely excised by a posterior sagittal approach. Conclusion: Rectal duplication is a rare entity that may simulate a rectal prolapse.

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Section: Discussionmentioning

confidence: 87%

Rectal duplication cyst mimicking rectal prolapse: A case report

Ahmad

Karar

Saleem

et al. 2021

J Pediatr Adolesc Surg

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“…Second, surgical resection of the rectal duplication eliminates the otherwise persistent risk of complications, such as bleeding, perforation and malignant degeneration 7–9. Several surgical techniques have been previously described in the literature for the treatment of rectal duplications, including parasacral, transanal, perianal and abdominal approaches 18–28. The size and location of the lesion, along with surgeon’s experience should be considered when choosing the operative technique, for there is no consensus about the best surgical approach 9 29–31.…”

Section: Discussionmentioning

confidence: 99%

“…Transanal excision may be convenient for small low-lying rectal duplications but can be technically challenging 20–22. The anterior abdominal approach (open or laparoscopic) allows complete resection of large lesions located either posteriorly or anteriorly to the rectum with little morbidity,23–29 and, if an anterior rectal resection is necessary, it can be performed from that same approach 26. Given the anterior location of the lesion, its large size and surgeon’s expertise, the laparoscopic approach was considered adequate to completely remove the lesion.…”

Section: Discussionmentioning

confidence: 99%

Rectal duplication cyst in an adult with a history of imperforate anus: a diagnostic challenge

et al. 2022

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Rectal duplications are rare congenital anomalies that represent 1%–6% of alimentary tract duplications. We report a case of a woman in her 50s who presented to our hospital with perianal pain and urinary retention. She had a history of imperforate anus repaired after birth and dynamic graciloplasty performed during her adulthood for faecal incontinence. Abdominal CT scan showed a fluid collection extending from the electrostimulator, placed in a subcutaneous pocket in the abdomen, to the rectouterine pouch. Infection related to the electrostimulator was assumed and, after a course of antibiotics without patient improvement, the electrostimulator was removed. The symptoms and the pelvic fluid collection persisted, and diagnostic laparoscopy was performed. Diagnosis of rectal duplication cyst was made intraoperatively, and the cyst was completely resected. Patient fully recovered after surgery. This is a rare case of a rectal duplication cyst presenting during adulthood and associated with imperforate anus.

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“…However, TME sometimes could not be success due to narrow pelvis, obese, and large tumor [ 5 ]. Moreover, surgical resection of sometimes difficult because of anatomical site and dealings: posteriority the sacral vessels; laterally the hypogastric plexus and its branch; anteriority the prostate or vagina [ 18 ]. Several approaches were reported by trans abdominal, trans-anal, trans coccygeal, and posterior sagittal approach [ 12 , 19 ].…”

Section: Discussionmentioning

confidence: 99%