Imaging of presacral masses—a multidisciplinary approach

Patel, Nishant; Maturen, Katherine E.; Kaza, Ravi K.; Girish, Gandikota; Al-Hawary, Mahmoud M.; Wasnik, Ashish P.

doi:10.1259/bjr.20150698

Cited by 29 publications

(35 citation statements)

References 52 publications

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“…The tissue pathology consists of tissue originating from osseous, mesenchymal, or neural tissues, and there are many different histopathological types of presacral masses. 7 However, a bronchogenic cyst has never been reported in this space until now, and it was very difficult to predict and diagnose the cystic mass in our patient as a bronchogenic cyst. Previously, a few cases of malignant degeneration of bronchogenic cysts were reported.…”

Section: Discussionmentioning

confidence: 71%

“…In the preoperative imaging examination in this case, the cyst was located between the fascia propria recti and the sacrum at the level of the second sacral vertebra. In cases with a presacral mass at the level of the third sacral vertebra, approaches from the abdominal cavity have been reported . Therefore, we approached the mass by dissecting the fascia propria as in TME.…”

Section: Discussionmentioning

confidence: 99%

“…In the presacral space, totipotential cells are recognized where the embryologic hindgut and neuroectoderm connect. The tissue pathology consists of tissue originating from osseous, mesenchymal, or neural tissues, and there are many different histopathological types of presacral masses . However, a bronchogenic cyst has never been reported in this space until now, and it was very difficult to predict and diagnose the cystic mass in our patient as a bronchogenic cyst.…”

Section: Discussionmentioning

confidence: 99%

“…In cases with a presacral mass at the level of the third sacral vertebra, approaches from the abdominal cavity have been reported. 7 Therefore, we approached the mass by dissecting the fascia propria as in TME. This procedure proceeded as expected.…”

Section: Discussionmentioning

confidence: 99%

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A rare case of pelvic bronchogenic cyst treated by laparoscopic surgery

Tokuyama

Takahashi

Miyoshi

et al. 2019

Asian J Endoscop Surgery

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A 31‐year‐old man with pain in his thigh was diagnosed with a benign presacral cystic mass. We performed laparoscopic subtotal resection of the cyst utilizing mobilization of a total mesorectal excision procedure used in low anterior resection for rectal cancer. Histopathological findings showed that the cystic lumen of the specimen was lined with pseudostratified columnar ciliated epithelium and had glandular structures and smooth muscle in its wall, leading to a diagnosis of bronchogenic cyst. The postoperative course was uneventful, and as of 6 months after surgery, the patient was doing well with no evidence of recurrence.

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Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

A rare case of pelvic bronchogenic cyst treated by laparoscopic surgery

Tokuyama

Takahashi

Miyoshi

et al. 2019

Asian J Endoscop Surgery

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“…At imaging, they usually appear as multilocular retrorectal cystic masses, and there is often a large dominant cyst and smaller peripheral cysts. These cysts can demonstrate internal echoes at US, high attenuation at CT, and variable signal intensity at T1-and T2-weighted MR imaging owing to hemorrhagic, mucoid, and/or proteinaceous material (Figs 22, 23) (44)(45)(46). It may be difficult to distinguish a complicated tailgut cyst from a dermoid cyst or ovarian cystic mucinous neoplasm-unless both ovaries can be visualized separate from the cyst.…”

Section: Tailgut Cystmentioning

confidence: 99%

Nongynecologic Findings Seen at Pelvic US

et al. 2017

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Ultrasonography (US) is frequently the first imaging modality used to examine women with symptoms involving the pelvis. It is widely available and involves no exposure to ionizing radiation. Images can be acquired with a transabdominal, endovaginal, or translabial approach, and the use of video clips and three-dimensional reconstructions can be helpful. US is excellent for assessment of the uterus, ovaries, and adnexa. Occasionally, nongynecologic pelvic diseases arising from the gastrointestinal, genitourinary, and musculoskeletal systems and the pelvic peritoneal and extraperitoneal spaces may be detected and can be a source of diagnostic dilemma. US can be helpful not only in the detection but also occasionally in the characterization of such entities. Computed tomography and magnetic resonance imaging are useful in complicated cases. In this article, the normal US appearance of the bowel and US signs of bowel disease and specific entities, including appendicitis, diverticular disease, bowel obstruction, appendiceal mucocele, and intestinal tumors, are reviewed. The lower urinary tract is included in the field of view in every pelvic US examination; commonly encountered entities related to the urinary bladder, distal ureter, and urethra are illustrated. In addition to arising in the gastrointestinal and genitourinary tracts, pathologic conditions in the pelvis can arise in the peritoneal or extraperitoneal space. Although conditions of the pelvic peritoneal and extraperitoneal spaces are rare, it is important to recognize these entities and distinguish them from the more common gynecologic diseases. Owing to the implications for diagnosis and management, radiologists and other physicians who perform pelvic US should be aware of the spectrum of nongynecologic pathologic entities that can be detected. RSNA, 2017.

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Paediatric sacrococcygeal teratoma detected by transperineal sonography

Roche,

McEniery

2024

Sonography

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The value of transperineal ultrasound to women's imaging of pelvic floor prolapse or perineal trauma is extensively documented. 1,2 The midsagittal two-dimensional transperineal ultrasound scan plane while simple to obtain, is difficult to interpret without prior knowledge of pelvic floor sonoanatomy. While transabdominal pelvic ultrasound is routinely taught within tertiary ultrasound courses, hands-on experience performing transperineal ultrasound remains dependent on the patient demographic within the imaging department, clinically relevant requests, adequate supervision, and patient consent. These factors can limit exposure and opportunity to gain proficiency and confidence with pelvic floor ultrasound. Even if the operator has adequate skill and experience in adult pelvic floor ultrasounds, a paediatric patient may be poorly compliant and technically challenging. Nevertheless, the transperineal ultrasound can offer many advantages when performed in the paediatric population.Literature on pelvic floor ultrasound in the paediatric population is relatively scarce. High-resolution midsagittal ultrasound over the perineum with a linear or curvilinear transducer can demonstrate the pubic symphysis, lower bladder and urethra, vagina, lower rectum and anal sphincters in a singular imaging plane. 1 Normal anatomy is outlined in Figure 1.

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Imaging of presacral masses—a multidisciplinary approach

Cited by 29 publications

References 52 publications

A rare case of pelvic bronchogenic cyst treated by laparoscopic surgery

A rare case of pelvic bronchogenic cyst treated by laparoscopic surgery

Nongynecologic Findings Seen at Pelvic US

Paediatric sacrococcygeal teratoma detected by transperineal sonography

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