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Rectal duplication cyst causing acute urinary retention with bladder outlet obstruction: an unusual presentation
Ashish Sharma1, Samarth Agarwal1, Manoj Kumar1
1Urology, King George's Medical University, Lucknow, Uttar-Pradesh, India.
BMJ Case Reports
|March 11, 2019
Summary
A rare anterior rectal duplication cyst caused acute urinary retention in a young girl. Laparoscopic surgery successfully removed the cyst, resolving the bladder outlet obstruction.
Area of Science:
- Pediatric Surgery
- Urology
- Gastroenterology
Background:
- Anterior rectal duplication cysts are rare congenital anomalies with diverse clinical presentations.
- While rectal compression is common, urinary tract obstruction is exceptionally uncommon.
Observation:
- A young female presented with acute urinary retention and bladder outlet obstruction.
- Imaging revealed a large anterior rectal duplication cyst compressing the bladder neck.
Findings:
- The cyst was surgically excised using a laparoscopic-assisted transabdominal approach.
- Post-operative recovery was uneventful, with resolution of urinary symptoms.
Implications:
- This case highlights the potential for rectal duplication cysts to cause significant urinary tract issues.
- Early diagnosis and surgical intervention are crucial for favorable outcomes in pediatric patients.
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