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[Case of presacral dermoid cyst]
Hideki Kanda1, Masaki Sakurai, Kiminobu Arima
1Department of Urology, Matsusaka Municipal Hospital.
Hinyokika Kiyo. Acta Urologica Japonica
|January 5, 2005
Summary
This case report details a large presacral dermoid cyst in an adult male. Complete surgical excision is recommended for these developmental cysts to prevent malignancy and infection.
Area of Science:
- Surgical Case Reports
- Abdominal Imaging
- Histopathology
Background:
- Presacral masses are rare and can present with vague lower abdominal symptoms.
- Dermoid cysts, a type of germ cell tumor, can occur in the presacral space.
Observation:
- A 39-year-old male presented with lower abdominal pain and a palpable rectal mass.
- Imaging revealed a 10 cm presacral cystic tumor.
- Surgical resection via a sacral approach yielded a cyst containing muddy material and hair.
Findings:
- Histopathological examination confirmed a dermoid cyst, characterized by stratified squamous epithelium with skin appendages.
- The patient experienced wound complications (infection and dehiscence) post-surgery, which resolved with conservative management.
Implications:
- This case highlights the importance of complete excision for presacral dermoid cysts.
- Early diagnosis and surgical intervention are crucial due to the potential for malignancy and infection.