Nadir Bir Retrorektal Kist Sebebi: Endometrial Doku İçeren Teratom
Retrorektal kist retrorektal alanda bulunan en yaygın konjenital anomalilerden biridir. Retrorektal kistin en önemli komplikasyonları fistüle sekonder enfeksiyon ve retrorektal kistin malign dejenerasyonudur. Bu olguda retrorektal kistin ayırıcı tanısı ve cerrahi tedaviyi sunmayı amaçladık. Anahtar kelimeler: Retrorektal kist, Abdominosakral rezeksiyon.
A Rare Cause of Retrorectal Cyst: Teratoma Containing Endometrial Tissue
Retrorectal cystic lesions are rare in adults and are the most common congenital entity encountered in the retrorectal space.1, 2 The most important complications of these cysts are infection with a secondary fistula and malignant degeneration of the retrorectal cysts.3, 4 In this article we present differantial diagnosis and surgical treatment modalities for retrorectal cysts. Key words: Retrorectal cyst, Abdominosacral resection.
___
- Jao SW, Beart RW, Spencer RJ, Reiman HM, Ilstrup DM. Retro-rectal tumors: Mayo Clinic Experiences 196-1979. Dis Colon Rectum 1985; 28:644-652.
- Uhlig BE, Johnson RL. Presacral tumors and cyst in adults. Dis Colon Rectum 1975; 18: 581-596.
- Willims LS, Rojiani AM, Quisling RG, Mickle JP. Retrorectal cyst – hamartomas and sacral dysplasia: MR appearance. AJNR Am J Neuroradiol 1993; 14: 735-746.
- Lim KE, Hsu WC, Wang CR. Tailgut cyst with malignancy: MR imaging findings. AJR Am J Roentgenol 1998; 172: 1488-1490.
- Kulaylat MN, Doerr RJ, Neuwirth M, Satchidanand SK. Anal duct-gland cyst: Report of a case and review of the literature. Dis Colon Rectum 1998; 41: 103-110.
- Hannon J, Subramony C, Scott-Conner CE. Benign retrorectal tumors in adults: the choice of operative approach. Am Surg 1994; 60:267-72.
- Uhlig BE, Johnson RL. Presacral tumors and cysts in adults. Dis Colon Rectum 1975; 18:581-9.
- Oren M, Lorber B, Lee SH, Truex RC Jr, Gennaro AR. Anterior sacral meningocele: report of five cases and review of the literature. Dis Colon Rectum 1977; 20:492-505.
- Johnson AR, Ros PR, Hjermstad BM. Tailgut cyst: diagnosis with CT and sonography. AJR Am J Roentgenol 1986; 147:1309-11.
- Springall RG, Griffiths JD. Malignant change in rectal duplication. J R Soc Med 1990; 83:185-7.
- La Manna L, Ponchio L, Moro G, Parziale A, Ruggiero R, Baldi M, Della Cuna GR, Catona A. Retrorectal tumours: a case report. Chir Ital 2002; 54:545-8.
- Marco V, Autonell J, Farre J, Fernandez-Layos M, Doncel F. Retrorectal cyst-hamartomas. Report of two cases with adenocarcinoma developing in one. Am J Surg Pathol 1982; 6:707-14.
- Gray SW, Singhabhandhu B, Smith RA, Skandalakis JE. Sacrococcygeal chordoma: Report of a case and review of the literature. Surgery 1975;78:573-82.
- Mills SE, Walker AN, Stallings RG, Allen MS Jr. Retrorectal cystic hamartoma. Report of three cases, including one with a perirenal component. Arch Pathol Lab Med 1984;108:737- 40.
- Levert LM, Van Rooyen W, Van Den Bergen HA. Cysts of the tailgut. Eur J Surg 1996;162:149-52.
- Gordon PH. Retrorectal tumors. In:Gordon PH, Niwatwongs S, eds. Principles and practice of surgery for the colon, rectum, and anus. 2nd ed. St Louis, MO: Quality medical publishing; 1999: 428-445.
- Theuerkauf FJ Jr, Hill JR, ReMine WH. Presacral developmental cysts in mother and daughter: report of cases. Dis Colon Rectum 1970;13:127-32.