Recurrent lumbar spinal intradural enterogenous cyst: a case report.

Area of Science:

• Neurosurgery
• Spinal Surgery
• Pathology

Background:

• Enterogenous cysts are rare congenital anomalies typically found in the spinal canal's cervical and thoracic regions.
• Lumbar spinal canal enterogenous cysts are exceptionally uncommon, posing diagnostic and therapeutic challenges.

Observation:

• A 24-year-old female presented with a year of lower back and left leg radicular pain.
• Previous surgery for a mass lesion at the same lumbar level occurred 10 years prior.
• Lumbar spine MRI revealed a large intradural cyst at the L2 level, with no other congenital abnormalities.

Findings:

• The patient underwent subtotal removal of the intradural lumbar cyst.
• Pathological examination confirmed the lesion as a typical enterogenous cyst.
• The patient experienced a good recovery following surgical intervention.

Implications:

• This case underscores the possibility of recurrent enterogenous cysts in the lumbar spine, despite their rarity.
• Early diagnosis and surgical management are crucial for managing symptoms and preventing recurrence.
• Further research into the etiology and long-term outcomes of lumbar enterogenous cysts is warranted.