Laparoscopic excision of a newborn rectal duplication cyst

Hartin, Charles W.; Lau, Stanley T.; Escobar, Mauricio A.; Glick, Philip L.

doi:10.1016/j.jpedsurg.2008.03.039

Cited by 19 publications

(13 citation statements)

References 11 publications

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“…It may be transanal, transcoccygeal or posterior sagittal for retrorectal cysts and transabdominal for anterior cysts or those associated with a genitourinary malformation. More recently, transanal endoscopic microsurgery and laparoscopic intra-abdominal approaches have been described 11 12…”

Section: Discussionmentioning

confidence: 99%

Rectal duplication cyst causing acute urinary retention with bladder outlet obstruction: an unusual presentation

et al. 2019

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Anterior rectal duplication cyst is rare entity with <50 reported cases to date. It has myriad presentations like bleeding per rectum, constipation, rectal prolapsed and intestinal obstruction due to extrinsic compression of rectum. However, the association of enlarged duplication cyst compressing the bladder neck or ureter, and leading to bladder outlet obstruction or hydroureteronephrosis is extremely rare with only a handful of reported cases. We report a rare case of large anterior rectal duplication cyst in a young girl leading to acute urinary retention with bladder outlet obstruction which was eventually managed by laparoscopic-assisted transabdominal surgical excision of the cyst. The authors believe that such an association has not been previously reported in this age group.

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Section: Discussionmentioning

confidence: 99%

Rectal duplication cyst causing acute urinary retention with bladder outlet obstruction: an unusual presentation

et al. 2019

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“…Ultrasonography is usually the first diagnostic step in the preoperative assessment of rectal duplication cyst, while the differential diagnostics encompasses CT, MRI, as well as rectal contrast enema and fistulography [2,6,14,26]. In differential diagnostics of rectum duplications the following conditions need to be considered: first of all sacrococcygeal tumors, as well as anterior meningocele and meningomyelocele of lumbo-sacral part of the spine [6].…”

Section: Discussionmentioning

confidence: 99%

“…However, there is no coherent theory explaining the variability of morphological forms of duplication, its location and range of coexisting abnormalities [1]. The incidence of the malformation is 1 in 5–10 thousand of live births [2]. Usually the malformation is diagnosed in children.…”

Section: Introductionmentioning

confidence: 99%

Use of Diagnostic Imaging in the Evaluation of Gastrointestinal Tract Duplications

et al. 2014

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SummaryBackgroundGastrointestinal tract duplication is a rare malformation associated with the presence of additional segment of the fetal gut. The aim of this study was to retrospectively review clinical features and imaging findings in intraoperatively confirmed cases of gastrointestinal tract duplication in children.Material/MethodsThe analysis included own material from the years 2002–2012. The analyzed group included 14 children, among them 8 boys and 6 girls. The youngest patient was diagnosed at the age of three weeks, and the oldest at 12 years of age.ResultsThe duplication cysts were identified in the esophagus (n=2), stomach (n=5), duodenum (n=1), terminal ileum (n=5), and rectum (n=1). In four cases, the duplication coexisted with other anomalies, such as patent urachus, Meckel’s diverticulum, mesenteric cyst, and accessory pancreas. Clinical manifestation of gastrointestinal duplication cysts was variable, and some of them were detected accidently. Thin- or thick-walled cystic structures adjacent to the wall of neighboring gastrointestinal segment were documented on diagnostic imaging.ConclusionsUltrasound and computed tomography are the methods of choice in the evaluation of gastrointestinal duplication cysts. Apart from the diagnosis of the duplication cyst, an important issue is the detection of concomitant developmental pathologies, including pancreatic heterotopy.

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“…With this method, the transection line of the distal rectum can be decided under direct vision by touch, and anastomosis using the double stapling technique can be completed quickly and safely. To our knowledge, there have been no other reports of a rectal duplication cyst being successfully treated by laparoscopic TME, although some cases of laparoscopically incomplete resection of the diseased area have been reported (9,10). Laparoscopic TME using a prolapsing technique should be considered as a less invasive option and a safe surgical procedure for a rectal duplication cyst.…”

Section: Discussionmentioning

confidence: 99%

Rectal duplication cyst successfully treated by laparoscopic total mesorectal excision using the prolapsing technique

Akahane

Uehara

Yoshioka

et al. 2011

Asian Journal of Endoscopic Surgery

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Congenital alimentary tract duplication is a rare disease. It most frequently occurs in the ileum, with the rectum being the rarest site. Herein, we report a 38-year-old woman who was referred to our hospital because of severe anal pain. On digital examination, a smooth, round, rubbery mass was palpable; it was located 5 cm from the anal verge in the posterior rectal wall. A CT scan demonstrated a 5-cm cystic lesion located anterior to the sacrum that was displacing the rectum anteriorly. Spontaneous remission of the tumor was evident; however, after 5 months of follow-up, the patient experienced the same severe anal pain. MRI demonstrated a recurrent cystic lesion. To prevent further complications and to confirm or deny malignancy, laparoscopic total mesorectal excision using the prolapsing technique was performed. Pathologically, the cystic lesion was diagnosed as a rectal duplication cyst. This is the first report of a rectal duplication cyst successfully treated by laparoscopic total mesorectal excision.

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Laparoscopic excision of a newborn rectal duplication cyst

Cited by 19 publications

References 11 publications

Rectal duplication cyst causing acute urinary retention with bladder outlet obstruction: an unusual presentation

Rectal duplication cyst causing acute urinary retention with bladder outlet obstruction: an unusual presentation

Use of Diagnostic Imaging in the Evaluation of Gastrointestinal Tract Duplications

Rectal duplication cyst successfully treated by laparoscopic total mesorectal excision using the prolapsing technique

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