Retrorectal (Pre Sacral) Dermoid Cyst: a case report

Document Type : Case report

Authors

1 Associate Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

2 M.Sc. in Surgical Technologist, School of Nursing and Midwifery, North Khorasan University of Medical Sciences, Bojnurd, Iran.

3 Gynecologist, Mehr (Hazrate Abbas) Hospital, Mashhad, Iran.

4 M.Sc. in Surgical Technologist, Montaserieh Organ Transplantation and Dialysis Center, Mashhad, Iran.

Abstract

Introduction: Retrorectal tumors are relatively rare. Dermoid cysts are of the family of retrorectal tumors which are usually benign and found in young women. In this study, a case of retrorectal dermoid cyst is reported.
Case presentation: The patient was a 25-year-old woman who had referred to Mashhad Mehr hospital with symptoms of nausea, vomiting, flatulence and change in bowel movements and pelvic pain. The physical examinations by laparoscopy revealed a mass measuring 74×62 in posterior uterus. The patient underwent surgery and the cyst was completely excised. The patient discharged after five days and no postoperative complications were reported in the follow up. Pathological results reported dermoid cyst.
Conclusion: Surgery is the main treatment of retrorectal lesions and tumors. The use of imaging results such as MRI and CT-scan is recommended for more precise diagnosis of the nature and location of the lesion and to select the best surgery approach appropriate to the location of the mass.

Keywords


  1. Jones M, Khosa J. Presacral tumours: a rare case of a dermoid cyst in a paediatric patient. BMJ Case Rep 2013; 2013:2103008783.
  2. Neale JA. Retrorectal tumors. Clin Colon Rectal Surg 2011; 24(3):149-60.
  3. Munteanu I, Badulescu A, Mastalier B, Munteanu ML, Diaconu E, Popescu C. Retrorectal dermoid cyst: a rare clinical entity. Curr Health Sci J 2013; 39(3):179-83.
  4. Messick CA, Hull T, Rosselli G, Kiran RP. Lesions originating within the retrorectal space: a diverse group requiring individualized evaluation and surgery. J Gastrointest Surg 2013; 17(12):2143-52.
  5. Oguz A, Böyük A, Turkoglu A, Goya C, Alabalık U, Teke F, et al. Retrorectal tumors in adults: a 10-year retrospective study. Int Surg 2015; 100(7-8):1177-84.
  6. Shigemi D, Kamoi S, Matsuda A, Takeshita T. A Complicated case of pregnancy involving a presacral epidermoid cyst. J Nippon Med Sch 2017; 84(2):100-4.
  7. Nishie A, Yoshimitsu K, Honda H, Irie H, Aibe H, Shinozaki K, et al. Presacral dermoid cyst with scanty fat component: usefulness of chemical shift and diffusion-weighted MR imaging. Comput Med Imaging Graph 2003; 27(4):293-6.
  8. Psaras KK, Triantos G, Papavassiliou T, Kotis A. Large dermoid cyst of the left hip: radiological approach with histopathology assessment. BMJ Case Rep 2013; 2013:2012007943.
  9. Jayasuriya NS, Siriwardena S, Tilakaratne WM, Parthiepan S. Malignant transformation of a long-standing submental dermoid cyst to a carcinosarcoma: a case report. J Med Case Rep 2017; 11(1):11.
  10. Yang BL, Gu YF, Shao WJ, Chen HJ, Sun GD, Jin HY, et al. Retrorectal tumors in adults: magnetic resonance imaging findings. World J Gastroenterol 2010; 16(46):5822-9.