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Rectal Duplication Cyst: A Rare Cause of Rectal Prolapse in a Toddler

Samreen Khushbakht1, Anwar ul Haq1

  • 1Department of Pediatric Surgery, Shifa International Hospital, Islamabad.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|December 23, 2015
PubMed

Insights

Rectal duplication cysts, rare congenital anomalies, typically present with pressure effects. This case highlights rectal prolapse and bleeding as unusual initial symptoms in a child.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Congenital Anomalies

Background:

  • Rectal duplication cysts are uncommon congenital gastrointestinal anomalies, accounting for 4% of such conditions.
  • These cysts usually manifest in childhood with symptoms like constipation, tenesmus, or bleeding, often due to ectopic gastric mucosa.
  • Typical presentations involve mass or pressure effects within the rectal area.

Observation:

  • A 4-year-old boy presented with rectal prolapse and rectal bleeding, atypical symptoms for a rectal duplication cyst.
  • Physical examination revealed a soft mass on the posterior rectal wall.
  • Computed Tomography (CT) scan confirmed a cystic mass in the posterior rectal wall.

Findings:

  • The rectal duplication cyst was successfully excised via a trans-anal approach.
  • Postoperative recovery for the patient was uneventful.
  • Histopathological analysis confirmed the diagnosis of a rectal duplication cyst.

Implications:

  • This case underscores the importance of considering rectal duplication cysts in the differential diagnosis of pediatric rectal prolapse and bleeding.
  • Highlights the variability in clinical presentation of congenital rectal anomalies.
  • Suggests that trans-anal excision can be an effective treatment for selected rectal duplication cysts.

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