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Malutan AM, Suciu VE, Ignat FL, Diculescu D, Ciortea R, Boțan EC, Bucuri CE, Roman MP, Nati I, Ormindean C, Mihu D. Tailgut Cyst-Gynecologist's Pitfall: Literature Review and Case Report. Diagnostics (Basel) 2025; 15:108. [PMID: 39795636 PMCID: PMC11719731 DOI: 10.3390/diagnostics15010108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2024] [Revised: 12/23/2024] [Accepted: 01/02/2025] [Indexed: 01/13/2025] Open
Abstract
Background and Clinical Significance: Retrorectal cystic hamartomas ("Tailgut cysts") are rare developmental cysts that appear in the retrorectal space, arising from aberrant remnants of the post-anal primitive gut in case of an incomplete embryogenetic involution. Case Presentation: We present the case of a 30-year-old woman with a history of chronic lower abdominal pain. Other digestive symptoms, like rectal fullness, constipation, pain on defecation, rectal bleeding or genitourinary obstruction symptoms, were not associated. During a period of 3 years, she underwent several surgical procedures for ovarian cysts, without relieving the symptomatology. A computed tomography (CT) scan showed a presacral tumor with a right pararectal development. A surgical resection of the lesion using an anterior approach was performed, with the final pathological diagnosis of a retrorectal cystic hamartoma ("tailgut cyst"). Conclusions: This case underlines the fact that retrorectal masses can be challenging to diagnose, and tailgut cysts must be taken into consideration in cases of perirectal tumors in patients with a history of multiple failed procedures and surgeries.
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Affiliation(s)
- Andrei Mihai Malutan
- 2nd Department of Obstetrics and Gynecology, ‘Iuliu Hatieganu’ University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania; (A.M.M.)
| | - Viorela-Elena Suciu
- 2nd Department of Obstetrics and Gynecology, ‘Iuliu Hatieganu’ University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania; (A.M.M.)
| | | | - Doru Diculescu
- 2nd Department of Obstetrics and Gynecology, ‘Iuliu Hatieganu’ University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania; (A.M.M.)
| | - Razvan Ciortea
- 2nd Department of Obstetrics and Gynecology, ‘Iuliu Hatieganu’ University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania; (A.M.M.)
| | - Emil-Claudiu Boțan
- Department of Pathology, Emergency County Hospital, 3-5 Clinicilor, 400006 Cluj-Napoca, Romania
| | - Carmen Elena Bucuri
- Clinical Department of Surgery, “Constantin Papilian” Emergency Clinical Military Hospital, 22 G-ral Traian Mosoiu, 400132 Cluj-Napoca, Romania
| | - Maria Patricia Roman
- 2nd Department of Obstetrics and Gynecology, ‘Iuliu Hatieganu’ University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania; (A.M.M.)
| | - Ionel Nati
- 2nd Department of Obstetrics and Gynecology, ‘Iuliu Hatieganu’ University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania; (A.M.M.)
| | - Cristina Ormindean
- 2nd Department of Obstetrics and Gynecology, ‘Iuliu Hatieganu’ University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania; (A.M.M.)
| | - Dan Mihu
- 2nd Department of Obstetrics and Gynecology, ‘Iuliu Hatieganu’ University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania; (A.M.M.)
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Rodrigo-Calvo M, Archilla I, Alos S, Vidal-Robau N, Saez de Gordoa K, Moreno J, Sendino O, Cuatrecasas M. Retrorectal hamartoma cyst (tailgut cyst) in a young man. GASTROENTEROLOGIA Y HEPATOLOGIA 2023; 46:466-467. [PMID: 35718015 DOI: 10.1016/j.gastrohep.2022.06.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Revised: 05/31/2022] [Accepted: 06/09/2022] [Indexed: 05/24/2023]
Affiliation(s)
- Maite Rodrigo-Calvo
- Department of Pathology, Hospital Clínic, University of Barcelona, IDIBAPS, Barcelona, Spain
| | - Ivan Archilla
- Department of Pathology, Hospital Clínic, University of Barcelona, IDIBAPS, Barcelona, Spain
| | - Silvia Alos
- Department of Pathology, Hospital Clínic, University of Barcelona, IDIBAPS, Barcelona, Spain
| | - Nuria Vidal-Robau
- Department of Pathology, Hospital Clínic, University of Barcelona, IDIBAPS, Barcelona, Spain
| | - Karmele Saez de Gordoa
- Department of Pathology, Hospital Clínic, University of Barcelona, IDIBAPS, Barcelona, Spain
| | - Julián Moreno
- Radiology Department, Hospital Clínic, Barcelona, Spain
| | - Oriol Sendino
- Gastroenterology Department, Hospital Clínic, Barcelona, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain; Universitat de Barcelona (UB), Barcelona, Catalonia, Spain; Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Spain
| | - Miriam Cuatrecasas
- Department of Pathology, Hospital Clínic, University of Barcelona, IDIBAPS, Barcelona, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain; Universitat de Barcelona (UB), Barcelona, Catalonia, Spain; Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Spain.
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Ji ZX, Yan S, Gao XC, Lin LF, Li Q, Yao Q, Wang D. Perirectal epidermoid cyst in a patient with sacrococcygeal scoliosis and anal sinus: A case report. World J Clin Cases 2022; 10:11139-11145. [PMID: 36338219 PMCID: PMC9631153 DOI: 10.12998/wjcc.v10.i30.11139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2022] [Revised: 08/09/2022] [Accepted: 09/20/2022] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND Perirectal epidermoid cysts are rare masses arising from the ectodermal germ cell layer of the hindgut and are predominantly found in middle-aged women. It is often difficult to make an accurate diagnosis of these cysts and it is equally challenging to distinguish it from other developmental cysts.
CASE SUMMARY We report the case of an 18-year-old female patient with a perirectal mass who presented to the hospital with constipation. The patient experienced sacrococcygeal falls and burns on the left buttocks during growth. Three-dimensional computed tomography scans indicated abnormal sacral vertebrae with the sacral canal partially enlarged and opened. Pelvic magnetic resonance imaging showed a 55 mm × 40 mm × 35 mm unilocular cystic mass in the perirectal space and a solitary sinus in the left ischiorectal fossa. The cyst was completely resected posteriorly using the sacrococcygeal approach. The pathology was verified to be an epidermoid cyst. The patient remained recurrence-free after 6 mo of follow-up.
CONCLUSION Successful treatment of perirectal epidermoid cysts depends on comprehensive evaluation. This is significant for the surgical approach and prognosis.
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Affiliation(s)
- Zhou-Xin Ji
- Department of Anorectal Surgery, Shenzhen People's Hospital, Shenzhen 518000, Guangdong Province, China
| | - Song Yan
- Department of Anorectal Surgery, Shenzhen People's Hospital, Shenzhen 518000, Guangdong Province, China
| | - Xu-Can Gao
- Department of Anorectal Surgery, Shenzhen People's Hospital, Shenzhen 518000, Guangdong Province, China
| | - Li-Fen Lin
- Department of Anorectal Surgery, Shenzhen People's Hospital, Shenzhen 518000, Guangdong Province, China
| | - Qiang Li
- Department of Anorectal Surgery, Shenzhen People's Hospital, Shenzhen 518000, Guangdong Province, China
| | - Qi Yao
- Department of Anorectal Surgery, Shenzhen People's Hospital, Shenzhen 518000, Guangdong Province, China
| | - Dong Wang
- Department of Anorectal Surgery, Shenzhen People's Hospital, Shenzhen 518000, Guangdong Province, China
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Arshad R, Khalid N, Rafique M, Mushtaq R, Sial FM. Perianal Tailgut Cyst: An Unusual Presentation. Cureus 2022; 14:e27512. [PMID: 36060408 PMCID: PMC9424791 DOI: 10.7759/cureus.27512] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/31/2022] [Indexed: 11/24/2022] Open
Abstract
A tailgut cyst (TGC) is a rare congenital lesion that occurs due to failure of involution of the distal hindgut, leading to the development of a mucus-secreting cyst. The clinical presentation is nonspecific, and often the diagnosis can be missed. We present the case of a 20-year-old female with a TGC in the perianal region. Surgical excision of the cyst was performed, followed by an uneventful recovery. The young age of our patient and the anatomical location of the TGC make our case a rare entity, highlighting the need for practicing surgeons to keep TGC as a differential in mind while examining masses in the perianal region.
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