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Surgical management of tailgut cysts: A rare case report
Jiannan Li1, Xiaowei Song, Jian Shi
1Department of General Surgery, The Second Hospital of Jilin University, Changchun, Jilin, China.
Rationale:
Tailgut cysts are a type of very rare congenital polycystic lesions that are always located posterior to the rectum and anterior to the sacrum. The symptoms of tailgut cysts are nonspecific and misleading. Therefore, a full understanding of the characteristics of tailgut cysts is important for their diagnosis and treatment.
Patient Concerns:
We report a 46-year-old female with a sacrococcygeal mass that had been present for about 2 years.
Diagnoses:
Pelvic magnetic resonance imaging (MRI) indicated several cystic masses, the largest of which had a diameter of about 2.8 cm, near the ligaments of the sacrospinous and rectum. Pathological examination confirmed the tailgut cysts, with no signs of malignant transformation.
Interventions:
The patient received complete surgical cysts resection, which was performed through the sacrococcygeal region.
Outcomes:
The patient recovered well with no obvious complication and was discharged on the sixth-day post-surgery. Follow-up 6 months later revealed no signs of cyst recurrence.
Lessons:
The symptoms and diagnostic characteristics of tailgut cysts should be fully understood. Complete surgical resection through the sacrococcygeal region is vital to treat tailgut cysts.
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