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

  • George Maroudias Department of Obstetrics and Gynecology, Attikon Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
  • Alina-Roxani Gouloumi Department of Pathology, Attikon University Hospital, School of Medicine, University of Athens, Athens, Greece
  • Zoi Tsakiraki Department of Pathology, Attikon University Hospital, School of Medicine, University of Athens, Athens, Greece
  • Maria Oikonomou Department of Obstetrics and Gynecology, Attikon Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
  • George Chrelias Department of Obstetrics and Gynecology, Attikon Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
  • Charalampos Chrelias Department of Obstetrics and Gynecology, Attikon Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
Keywords: Tail-Gut Cyst, Endometriosis, Dyspareunia

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.  

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Published
2018-09-23
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. JFRH. 12(2):117-20.
Section
Case Reports