Abstract
Abstract: A 61 years female multiparous Indian woman presented in our surgical outpatient Department at Sri R.L.Jallappa Hospital Kolar, with chronic lower abdominal pelvic pain and swelling since 2 months, a retro rectal cyst was diagnosed keeping in mind Benign Cystic lesions like overian, recto rectal ,hydatid and other degenerative cystic lesions. Retro rectal cysts have been classified into traumatic, infective, degenerative, neoplastic, and developmental, according to their origin. This paper focuses on the developmental variety of retroperitoneal pelvic cysts, particularly those of mesothelium, mesonephric, or paramesonephric origin. Their clinical presentations depend on their location; they may be mesenteric, paraovorian, or vaginal. The pathogenesis and embryologic, diagnostic, and therapeutic aspects are reviewed and a case report is presented. Key words :- Recto- peritoneal pelvic cyst, degenerative cysts, Surgical excision, C.T, MRI,Histopathology
Highlights
Developmental cysts are the most common retro rectal cystic lesions in adults, Retro rectal cystic lesions in adults are rare, and most cases are congenital[1]
Developmental cysts are the most common congenital entity encountered in the retro rectal space[2,3] and include epidermoid cysts, dermoid cysts, and enteric cysts
Jallappa Hospital Kolar, with chronic lower abdominal pelvic pain and swelling since 2 months, a retro rectal cyst was diagnosed keeping in mind Benign Cystic lesions like ovarian, recto rectal, hydatid and other degenerative cystic lesions
Summary
Developmental cysts are the most common retro rectal cystic lesions in adults, Retro rectal cystic lesions in adults are rare, and most cases are congenital[1]. Developmental cysts are the most common congenital entity encountered in the retro rectal space[2,3] and include epidermoid cysts, dermoid cysts, and enteric cysts. Developmental cysts are defined by their histologic components and retro rectal location, lying anterior to the sacrum and posterior to the rectum. They occur mostly in middle-aged women and in a 3:1 female-to-male ratio. The differential diagnosis includes a wide variety of conditions that occur in the retro rectal space: cystic sacrococcygealteratoma, anterior sacral meningocele, anal duct or gland cyst, necrotic rectalleiomyosarcoma, extraperitoneal adenomucinosis, cystic lymphangioma, pyogenic abscess, neurogenic cyst, and necrotic sacral chordoma. The differential diagnosis and treatment of developmental cysts in the retro rectal space are discussed
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