Retrorectal cystic hamartoma (tailgut cyst): an uncommon cause of recurrent abdominal pain

Authors

  • M. Ostiz Llanos Hospital Reina Sofía. Navarra
  • N. Yanguas Barea Hospital Reina Sofía. Navarra
  • G. Jiménez López de Oñate Complejo Hospitalario de Navarra
  • G. González Álvarez Complejo Hospitalario de Navarra
  • I. Fernández de los Reyes Complejo Hospitalario de Navarra

DOI:

https://doi.org/10.23938/ASSN.0038

Keywords:

Retrorectal cystic hamartoma. Abdominal pain.

Abstract

Retrorectal cystic hamartomas are rare congenital lesions that arise from aberrant remnants of the postanal gut. Most of them appear as asymptomatic lesions in middle-aged women but they can manifest with nonspecific symptoms such as abdominal or pelvic pain, constipation or diarrhoea, genitourinary symptoms, etc. Due to their anatomical position and variable presentation these lesions are often misdiagnosed. Complications include infection and malignant transformation, which is the reason why surgical treatment is always indicated. We report a case of a woman with recurrent episodes of abdominal pain that lasted for many years and increased progressively, conditioning her daily life activities. Image studies showed a non-complicated retrorectal cystic hamartoma. Complete surgical excision was achieved and the patient remains asymptomatic nowadays.

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Author Biographies

M. Ostiz Llanos , Hospital Reina Sofía. Navarra

FEA Aparato Digestivo

N. Yanguas Barea , Hospital Reina Sofía. Navarra

FEA Radiología

G. Jiménez López de Oñate , Complejo Hospitalario de Navarra

FEA Radiología

G. González Álvarez , Complejo Hospitalario de Navarra

FEA Cirugía General

I. Fernández de los Reyes , Complejo Hospitalario de Navarra

MIR Anatomía Patológica

References

VEGA D, QUINTÁNS A, HERNÁNDEZ P, NEVADO M, GARCÍA JL, RUEDA JA et al. Tailgut cysts. Cir Esp 2008; 83: 53-60.

SRIGANESHAN V, ALEXIS JB. A 37-year-old woman with a presacral mass. Tailgut cyst (retrorectal cystic hamartoma). Arch Pathol Lab Med 2006; 130: 77-78.

DAHAN H, ARRIVÉ L, WENDUM D, DOCOU LE POINTE H, DJOUHRI H, TUBIANA JM. Retrorectal developmental cysts in adults: clinical and radiologic-histopathologic review, differential diagnosis, and treatment. Radiographics 2001; 21: 575-584.

KILDUŠIS E, SAMALAVIČIUS NE. Surgical management of a retro-rectal cystic hamartoma (tailgutcyst) using a trans-rectal approach: a case report and review of the literatura. J Med Case Rep 2014 ; 6 : 8-11.

PATIL P, JIBHKATE SN, PAWAR V, VALAND A. Adenocarcinoma arising in tailgut cyst: a rare case. Indian J Pathol Microbiol 2014 ; 57 : 341-2.

MORA-GUZMÁN I, ALONSO-CASADO A, RODRÍGUEZ A, BERMEJO E. Neuroendocrine tumour arising inside a tailgutcyst. Ann R Coll Surg Engl 2017; 99: 91-93.

AFLALO-HAZAN V, ROUSSET P, MOURRA N, LEWIN M, AZIZI L, HOEFFEL C. Tailgut cysts: MRI findings. Eur Radiol 2008 ; 18 : 2586-2593.

ROSA G, LOLLI P, VERGINE M, EL-DALATI G, MALLEO G. Surgical excision of develomental retrorectal cysts: results with a long-term follow-up from a single institution. Updates Surg 2012 ; 64: 279-284.

PAPPALARDO G, FRATTAROLI FM, CASCIANI E, MOLES N, MASCAGNI D, SPOLETINI D et al. Retrorectal tumors: the choice of surgical approach based on a new classification. Am Surg 2009; 75: 240-248.

Published

2017-08-31

How to Cite

Ostiz Llanos, M., Yanguas Barea, N., Jiménez López de Oñate, G., González Álvarez, G., & Fernández de los Reyes, I. (2017). Retrorectal cystic hamartoma (tailgut cyst): an uncommon cause of recurrent abdominal pain. Anales Del Sistema Sanitario De Navarra, 40(2), 303–307. https://doi.org/10.23938/ASSN.0038

Issue

Section

Clinical notes

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