Case Of Tailgut Cyst Research Articles

TAIL GUT CYST- A RARE FINDING- CASE REPORT AND REVIEW OF LITERATURE

Introduction: Tailgut cysts are rare congenital entity that arises from the embryological hindgut and usually located in presacral space. Here we report a case of tail gut cyst which is an infrequent condition. Case report: Here, we report a nineteen year old male with lower abdominal pain. The relevant investigations were performed. The CT abdomen revealed a well-dened cystic lesion in the pelvis in lower presacral region and posterior to rectum with small calcied foci suggestive of tail gut cyst with scalloping of sacrum. MRI pelvis suggested large well dened unilocular cystic lesion in the retro-rectal and pre-sacral region extending from S2 to mid coccygeal level showing thin imperceptible walls few tiny projections and small rounded non enhancing nodule along its posterior wall with thin focal calcication seen in its wall with no evidence of malignancy and no signs of osseous destruction. The patient was explored and intraoperatively ndings revealed a cyst of size 8 cm * 5 cm behind the rectum and in front of sacrum which was densely adhered to the posterior wall of rectum but free from sacrum. The mass was resected as a whole and sent for histopathological exam which was suggestive of tailgut cyst. Tailgut cysts is infrequent condition which manifests as chronic lower abdominal pai Conclusion: n. It is crucial that such entity be diagnosed and surgically excised early in its presentation. It is important to rule out malignancy in the post operative biopsy

A Case of Tailgut Cyst with Adenocarcinoma without Recurrence during Long-term Follow-up

A Case of Tailgut Cyst with Adenocarcinoma without Recurrence during Long-term Follow-up

Surgical Management of Tailgut Cysts: A Report of Two Cases

A tailgut cyst is an uncommon congenital developmental cyst that arises from the postnatal remnants of the primitive gut. These cysts are generally located in the retrorectal space. The rarity of this lesion and its anatomical position frequently lead to difficulties in its diagnosis and surgical management. Complete surgical resection remains the cornerstone of treatment, and numerous surgical approaches to achieve this objective have been described in the literature. We present 2 cases of tailgut cysts that were resected using a trans-sacral approach. We discuss the surgical management of these cases, including the operative approach that was adopted. Two cases of tailgut cysts that presented as incidentally detected retrorectal tumors are described here. A pelvic magnetic resonance imaging scan revealed a retrorectal multicystic tumor consistent with a tailgut cyst. The patients underwent surgery via a trans-sacral approach with coccygectomy. The histopathologic diagnosis for each patient was a tailgut cyst with no evidence of malignancy. Surgical approaches for tailgut cysts depend on the exact locations of the cysts and suspicions regarding the malignancies of the cysts. En bloc organ resection, including coccygectomy, is required if malignancy is suspected. We endorse the trans-sacral approach as a feasible, easy to perform, minimally invasive, and safe option for treating relatively low-lying tailgut cysts.

A Case of Tailgut Cyst as a Subcutaneous Nodule at the Coccygeal Area.

A Case of Tailgut Cyst as a Subcutaneous Nodule at the Coccygeal Area.

Diagnosis of a Tail Gut Cyst By Endosonographically Guided-Fine Needle Aspiration

Background: Retrorectal cyst hamartomas or tail gut cysts (TGC) are rare developmental cysts that arise in the retrorectal region. They are most commonly seen in middle-aged women. Traditionally, pathologic diagnosis of TGC was provided on surgical resection. However, recently, endoscopic ultrasound (EUS) with fine needle aspiration (FNA) has been used to establish diagnosis. So far only one case of tail gut cyst diagnosed by EUS-guided FNA has been reported. We report another rare case of tail gut cyst diagnosed by EUS-guided FNA.Figure: EUS image of TGC.Case Report: A 46-year-old female with lower abdominal pain was referred to our institution for evaluation of perirectal mass noted upon digital rectal examination. She had an unremarkable colonoscopy. CT abdomen revealed a multiloculated cystic mass anterior to the lower sacrum to the right of midline and posterolateral to the rectum. EUS showed a well delineated hypoechoic mass with a few cystic spaces measuring 3.7 x 3.4 cm in the retrorectal space anterior to the sacrum at 15 cm from the anal verge. The lesion involved the serosa and had both solid and cystic components. FNA of the lesion was performed and was consistent with anucleate squamous cells with mild atypia, keratin debris with scattered multinucleated histiocytes consistent with TGC. Post procedure, patient developed perirectal abscess due to inadequate antibiotic prophylaxis which was drained. Patient improved clinically and is scheduled to follow-up with surgery for further management. Conclusion: TGC affecting the anorectum can be asymptomatic or cause mass related symptoms such as pain or constipation. Malignant components have only been rarely reported in these anomalies. Differential includes epidermoid cyst, dermoid cyst and rectal duplication cyst. These are usually unilocular versus TGCs which are multilocular. EUS-guided FNA may provide an accurate and reliable diagnosis of TGC. This less invasive technique has the potential to be used as an alternative to surgery for establishing diagnosis. This may allow observation and avoid surgery in asymptomatic patients. Further studies are needed to help establish the safety and efficacy of this promising method.

妊娠中に発見されたtailgut cystの1例

妊娠中に発見されたtailgut cystの1例

Retrorectal hamartoma: A ′tail′ of two cysts!

Retrorectal hamartomas or tail gut cysts are rare congenital anomalies most commonly seen in a retrorectal location; most common in middle aged women. This article describes the radiological appearance in two cases of tail gut cysts in males, one a child with a visible perianal swelling since birth and the other, a 72-year-old man with symptoms for one week. In both, the tailgut cysts were in a right perirectal location. Presentation in such a location in males, at extremes of age, is unusual for tailgut cysts.

Retrorectal tumors in adults: Magnetic resonance imaging findings

To retrospectively evaluate the magnetic resonance imaging (MRI) features of adult retrorectal tumors and compare with histopathologic findings. MRI features of 21 patients with preoperative suspicion of retrorectal tumors were analyzed based on the histopathological and clinical data. Fourteen benign cystic lesions appeared hypointense on T1-weighted images, and hyperintense on T2-weighted images with regular peripheral rim. Epidermoid or dermoid cysts were unilocular, and tailgut cysts were multilocular. Presence of intracystic intermediate signal intensity was observed in one case of tailgut cyst with a component of adenocarcinoma. Six solid tumors were malignant lesions and showed heterogeneous intensity on MRI. Mucinous adenocarcinomas showed high signal intensity on T2-weighted and mesh-like enhancing areas on fat-suppressed T2-weighted images. There was a fistula between the mass and anus with an internal opening in mucinous adenocarcinomas arising from anal fistula. Gastrointestinal stromal tumors displayed low signal intensity on T1-weighted images, and intermediate to high signal intensity on T2-weighted images. Central necrosis could be seen as a high signal on T2-weighted images. MRI is a helpful technique to define the extent of the retrorectal tumor and its relationship to the surrounding structures, and also to demonstrate possible complications so as to choose the best surgical approach.

Radiological Findings of Tailgut Cyst in a Fetus

Tailgut cyst, or retrorectal cystic hamartoma, is a rare congenital lesion found in the presacral space. The lesion has not been adequately reported in the literature. In this article, we describe a case of tailgut cyst that was demonstrated as a large cystic lesion within a fetal pelvis using ultrasonography and magnetic resonance imaging.

A Case of Tailgut Cyst in a Neonate

A Case of Tailgut Cyst in a Neonate

悪性所見を伴ったＴａｉｌｇｕｔ ｃｙｓｔの１例

悪性所見を伴ったＴａｉｌｇｕｔ ｃｙｓｔの１例

Ｔａｉｌｇｕｔ ｃｙｓｔの１手術例

Tailgut cystは直腸後面に存在する嚢胞性腫瘤で,比較的稀な疾患である.今回,我々はtaigut cystの手術症例を経験したので報告する.症例は52歳の女性.黒色便を認めたために近医を受診した,内視鏡検査等で異常を認めず,精査のために施行したCT,MRIで骨盤腔内の直腸右背側に13×10cmの嚢腫様病変を認めた.骨盤内嚢胞性腫瘤の術前診断で,5月23日経仙骨式腫瘤摘出術,尾骨合併切除術を施行した.腫瘤は13.5×10×8cmの嚢腫状で,中に灰緑黄色,クリーム状の約400mlの液体が認められた.病理所見では,嚢胞壁に扁平上皮の他,絨毛円柱上皮,円柱上皮が認められ,tailgut cystと診断された.尾骨合併切除を追加することで大きなtailgut cystでも経仙骨的に摘出が可能であり,より低侵襲に手術が行えた.今後,画像診断による定期的フォローアップの予定である.

A case of tailgut cyst

A case of tailgut cyst