Case Reports

A Rare Case Report of a Tail-Gut Cyst from a Gynecological Point of View

Abstract

A tail-gut cyst can be often a misleading clinical entity. In half of the patients there is no presenting symptom. On the other half, the patients most commonly present with a variety of symptoms such as rectal pain, constipation, lower back pain, dysuria or dyspareunia. The recommended treatment of choice for the tail-gut cyst is complete surgical excision without rupture of the cyst. We present the case of a 29-year-old female with history of dyspareunia over a 5-month period, who discovered an “ovarian” cyst during an annual scheduled ultrasound appointment. However, the intraoperative findings were surprising. The bottomline is always to keep in mind the Pandora’s Box of the retrorectal space.

 

Jao SW, Beart RW Jr, Spencer RJ, Reiman HM, Ilstrup DM. Dis Colon Rectum.Retrorectal tumors. Mayo Clinic experience, 1960-1979. 1985 Sep; 28:644-52.

Hjermstad BM1, Helwig EB. Am J Clin Pathol.Tailgut cysts. Report of 53 cases. 1988 Feb; 89:139-47.

Hood D.L., Petras R.E., Grundfest-Broniatowski S., Jagelman D.G. Retrorectal cystic hamartoma: report of five cases with carcinoid tumor arising in two. Am. J. Clin. Pathol. 1988; 89:433.

Skandalakis Surgical Anatomy: The Embryologic and Anatomic Basis of Modern Surgery

Langman’s Embryology

Saurabh Chhabra, corresponding author1 Susannah Wise,2 Nell Maloney-Patel,2 Craig Rezac. Adenocarcinoma associated with tail gut cyst. J Gastrointest Oncol. 2013 Mar; 4: 97–100.

Manco G, Giliberti G, Rolando G, Gelsomino F, Zunarelli E, Rossi A. Malignant transformation of a tailgut cyst. Ann Ital Chir. 2017 Jul 5;6

Musturay Karcaaltincaba, Deniz Karcaaltincaba Ali Ayhan. Diagnosis of Tailgut Cysts. November 2005, Volume 185, Number 5

Liessi G1, Cesari S, Pavanello M, Butini R. Tailgut cysts: CT and MR findings. Abdom Imaging. 1995 May-Jun;20:256-8.

HervéDahan, Lionel Arrivé, Dominique Wendum, Hubert Ducoule Pointe, HocineDjouhri, and Jean-Michel Tubiana. Retrorectal Developmental Cysts in Adults: Clinical and Radiologic-HistopathologicReview, Differential Diagnosis, and Treatment. RadioGraphics2001 21:3, 575-584

Willis RA. The borderland of embryology and pathology, 2nd edition, Butterworths, London, 1962, pp 301-304

Abukar AA, Parcell BJ. Malignancy within a tail gut cyst: a case of retrorectal carcinoid tumor. Case reports in Surgery 2014

Glasgow SC, Dietz DW.Retrorectal tumors. Clin Colon Rectal Surg. 2006;19:61–8.

Imboden S, Al-Fana A, Kuhn A, Mueller MD. Pandora’s box and retrorectal tumors in laparoscopy: A case report and review of the literature. Int J Surg Case Rep. 2014; 5:706–9.

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IssueVol 12, No 2 (June 2018) QRcode
SectionCase Reports
Keywords
Tail-Gut Cyst Endometriosis Dyspareunia

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How to Cite
1.
Maroudias G, Gouloumi A-R, Tsakiraki Z, Oikonomou M, Chrelias G, Chrelias C. A Rare Case Report of a Tail-Gut Cyst from a Gynecological Point of View. J Family Reprod Health. 2018;12(2):117-120.