Cem ÇEKİÇ, Zeynep Zehra GÜMÜŞ, Serkan İPEK, Sinan AKAY, Emrah ALPER, Cemil ÇALIŞKAN, Belkıs ÜNSAL

Retrorektal dermoid kist: Olgu sunumu

Retrorektal kistler gelişimsel kistler olup, kökenlerine ve histopatolojik özelliklerine göre; dermoid kist, rektal duplikasyon kistleri ve kistik ha - martomlar (Tailgut kistleri) olarak sınıflandırılabilirler. Dermoid kistler çoğunlukla overian yerleşim göstermekle beraber, mediastende, ret- roperitoneal bölgede ve nadiren retrorektal lokalizasyonda da görü- lebilmektedirler. Retrorektal kistler genellikle asemptomatik olsalar da rektal dolgunluk, defekasyon düzensizlikleri, karın ağrısı ve disparon gibi şikayetlere neden olabilirler. Çoğunlukla rutin pelvik muayene ve görüntüleme yöntemleri ile rastlantısal olarak tanınırlar. Genellikle be - nign lezyonlar olmalarına rağmen malign transformasyon ve enfeksi- yon gelişme riskleri nedeni ile tanı konulduğunda cerrahi olarak çıka - rılmaları gerekmektedir. Bu yazıda erişkin bayan hastada, rutin pelvik muayene esnasında fark edilen ve cerrahi olarak çıkarılan retrorekta dermoid kistin tanı ve tedavisi irdelenmiştir.

Retrorectal dermoid cyst: Case report

Retrorectal cysts are developmental cysts, and according to their origin and histopathological features, they are classified as dermoid cysts, rectal duplication cysts and cystic hamartomas (tailgut cysts). Although dermoid cysts have mostly ovarian localization, they can be seen in me - diastinal, retroperitoneal, and rarely, retrorectal localizations. Although retrorectal cysts are usually asymptomatic, they might cause problems such as rectal fullness, defecation disorders, abdominal pain, and dyspareunia. They are incidentally diagnosed mostly on routine pel- vic examinations and with imaging methods. Though they are usually benign lesions, after the diagnosis, they should be surgically removed because of the risks of malignant transformation and infection. In this article, we examined the diagnosis and treatment of a retrorectal der- moid cyst, which was discovered during the routine pelvic examination and surgically removed from an adult female patient.

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