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[Vestigial retrorectal cyst in adults].
G Godlewski1, O Philippe, H Ould Said
1Département de chirurgie digestive et de cancérologie digestive, hôpital Carémeau, CHU, rue du Professeur-Robert-Debré, 30900 Nîmes, France.
Annales De Chirurgie
|March 14, 2001
Summary
Retrorectal vestigial cysts (RVCs) are rare tumors. Surgical excision, when possible without cyst rupture, offers good outcomes for these rare conditions.
Area of Science:
- Surgical pathology
- Gastroenterology
Background:
- Retrorectal vestigial cysts (RVCs) are rare congenital anomalies.
- This study reports three adult cases of RVCs.
Observation:
- Three adult women (ages 28, 53, 57) were diagnosed with RVCs between 1977 and 1999.
- Symptoms included pain (n=2), one in a pregnant patient, and acute intestinal obstruction (n=1).
- Surgical approaches included perineal (n=2) and abdominal (n=1).
Findings:
- Histopathology revealed one epidermoid cyst and two mixed cysts, all benign.
- Two patients had uncomplicated postoperative recovery.
- One patient developed a uretero-vaginal fistula requiring reimplantation.
Implications:
- RVCs pose a risk of degeneration and require careful management.
- Advanced imaging (CT, MRI, endorectal ultrasonography) aids in diagnosis and surgical planning.
- Complete surgical excision without cyst rupture is recommended for favorable outcomes in non-malignant cases.