Recurrent retrorectal tailgut cyst mimicking deep pelvic abscess: A diagnostic dilemma
Tailgut cysts are congenital anomalies that are rare and arise from incompletely regressed primitive hindgut. These are more commonly found in women and are usually asymptomatic. When symptoms develop, these can present with pain, infection, hemorrhage, difficulty in defecation, and rarely malignant...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-07-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322003326 |
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| author | Summi Karn, MBBS Farhanul Huda, MBBS, MS Lena Elizabath David, MBBS Jyoti Sharma, MBBS, MS Tripti Prajapati, MBBS, MD Udit Chauhan, MBBS, MD Sudhir Kumar Singh, MBBS, MS Somprakas Basu, MBBS, MS, FRCS |
| author_facet | Summi Karn, MBBS Farhanul Huda, MBBS, MS Lena Elizabath David, MBBS Jyoti Sharma, MBBS, MS Tripti Prajapati, MBBS, MD Udit Chauhan, MBBS, MD Sudhir Kumar Singh, MBBS, MS Somprakas Basu, MBBS, MS, FRCS |
| author_sort | Summi Karn, MBBS |
| collection | DOAJ |
| description | Tailgut cysts are congenital anomalies that are rare and arise from incompletely regressed primitive hindgut. These are more commonly found in women and are usually asymptomatic. When symptoms develop, these can present with pain, infection, hemorrhage, difficulty in defecation, and rarely malignant change. We report a middle-aged married woman who presented with deep-seated perineal pain for a couple of months, which increased during defecation and sexual intercourse. Although abdominal examination was unremarkable barring deep tenderness in the hypogastrium, rectal and vaginal examinations suggested a tender pelvic swelling. An abdominal ultrasonographic examination diagnosed a cystic swelling in the pelvis extending until the Levator ani muscles. Considering her symptoms, a pelvic abscess was diagnosed and transvaginal drainage was done. Due to persistence of symptoms and recurrence after a month, she was further investigated and was diagnosed to have a presacral benign cystic tumor based on CT and MRI scans of the pelvis. The lesion was completely excised through a combined abdomino-perineal approach and histopathological report suggested a benign tailgut cyst. That a cystic presacral swelling with features of inflammation can be confused with a deep pelvic abscess is hereby highlighted in this report. An MRI scan is diagnostic of these lesions. Failure to differentiate it from a pelvic abscess may result in drainage, which may be of concern if the lesion is malignant. |
| first_indexed | 2024-04-13T22:12:05Z |
| format | Article |
| id | doaj.art-a3de66a6994b4fa69882b61d1d8c1f40 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-13T22:12:05Z |
| publishDate | 2022-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-a3de66a6994b4fa69882b61d1d8c1f402022-12-22T02:27:41ZengElsevierRadiology Case Reports1930-04332022-07-0117725592562Recurrent retrorectal tailgut cyst mimicking deep pelvic abscess: A diagnostic dilemmaSummi Karn, MBBS0Farhanul Huda, MBBS, MS1Lena Elizabath David, MBBS2Jyoti Sharma, MBBS, MS3Tripti Prajapati, MBBS, MD4Udit Chauhan, MBBS, MD5Sudhir Kumar Singh, MBBS, MS6Somprakas Basu, MBBS, MS, FRCS7Department of General Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand 249203, IndiaDepartment of General Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand 249203, IndiaDepartment of General Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand 249203, IndiaDepartment of General Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand 249203, IndiaDepartment of Radiodiagnosis & Imaging, All India Institute of Medical Sciences, Rishikesh, Uttarakhand 249203, IndiaDepartment of Radiodiagnosis & Imaging, All India Institute of Medical Sciences, Rishikesh, Uttarakhand 249203, IndiaDepartment of General Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand 249203, IndiaDepartment of General Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand 249203, India; Corresponding author.Tailgut cysts are congenital anomalies that are rare and arise from incompletely regressed primitive hindgut. These are more commonly found in women and are usually asymptomatic. When symptoms develop, these can present with pain, infection, hemorrhage, difficulty in defecation, and rarely malignant change. We report a middle-aged married woman who presented with deep-seated perineal pain for a couple of months, which increased during defecation and sexual intercourse. Although abdominal examination was unremarkable barring deep tenderness in the hypogastrium, rectal and vaginal examinations suggested a tender pelvic swelling. An abdominal ultrasonographic examination diagnosed a cystic swelling in the pelvis extending until the Levator ani muscles. Considering her symptoms, a pelvic abscess was diagnosed and transvaginal drainage was done. Due to persistence of symptoms and recurrence after a month, she was further investigated and was diagnosed to have a presacral benign cystic tumor based on CT and MRI scans of the pelvis. The lesion was completely excised through a combined abdomino-perineal approach and histopathological report suggested a benign tailgut cyst. That a cystic presacral swelling with features of inflammation can be confused with a deep pelvic abscess is hereby highlighted in this report. An MRI scan is diagnostic of these lesions. Failure to differentiate it from a pelvic abscess may result in drainage, which may be of concern if the lesion is malignant.http://www.sciencedirect.com/science/article/pii/S1930043322003326Tailgut cystPelvic abscessPresacral tumorRetrorectal cystCase report |
| spellingShingle | Summi Karn, MBBS Farhanul Huda, MBBS, MS Lena Elizabath David, MBBS Jyoti Sharma, MBBS, MS Tripti Prajapati, MBBS, MD Udit Chauhan, MBBS, MD Sudhir Kumar Singh, MBBS, MS Somprakas Basu, MBBS, MS, FRCS Recurrent retrorectal tailgut cyst mimicking deep pelvic abscess: A diagnostic dilemma Radiology Case Reports Tailgut cyst Pelvic abscess Presacral tumor Retrorectal cyst Case report |
| title | Recurrent retrorectal tailgut cyst mimicking deep pelvic abscess: A diagnostic dilemma |
| title_full | Recurrent retrorectal tailgut cyst mimicking deep pelvic abscess: A diagnostic dilemma |
| title_fullStr | Recurrent retrorectal tailgut cyst mimicking deep pelvic abscess: A diagnostic dilemma |
| title_full_unstemmed | Recurrent retrorectal tailgut cyst mimicking deep pelvic abscess: A diagnostic dilemma |
| title_short | Recurrent retrorectal tailgut cyst mimicking deep pelvic abscess: A diagnostic dilemma |
| title_sort | recurrent retrorectal tailgut cyst mimicking deep pelvic abscess a diagnostic dilemma |
| topic | Tailgut cyst Pelvic abscess Presacral tumor Retrorectal cyst Case report |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322003326 |
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