Curr Health Sci J, vol. 39, no. 3, 2013

Retrorectal Dermoid Cyst: a Rare Clinical Entity

[Case Reports]

I. MUNTEANU1, ADRIANA BADULESCU1, B.MASTALIER2, MIHAELA LUMINITA MUNTEANU3, EMILIA DIACONU4, CARMEN POPESCU5

1 “Titu Maiorescu” University, Faculty of Medicine, Surgical Department - Clinic Hospital CF-2 Bucharest, Romania. 2 University of Medicine and Pharmacy “Carol Davila “, Surgery Clinic No. 2, Clinic Hospital Colentina, Bucharest, Romania. 3 Imagistical Department, Esthera Medical Center, Bucharest, Romania 4 Imagistical Department, Medical Gral, Bucharest, Romania. 5 Craiova Emergency Clinic Hospital, Anatomo-pathological Department, Craiova, Romania


Abstract:

The retrorectal space represents the anatomical site at which level we identify the embryologic reminiscents in which it can develop liquid tumors - cysts or solid tumors - neoplasia. These tumors are rare but pose a diagnostic and therapeutic interest. This paper presents the case of a young 18 years-old diagnosed incidentally at a gynecological examination, with a palpable tumor developed, at the retrorectal space. Imaging examinations - transvaginal ultrasound and abdominal - pelvic computer tomographic exam - have supported the presence of a cystic tumor with a maximum diameter of 7.8 cm., in the space retrorectal. The lesion presented surgical indication, so it needed a posterior approach with resection of the coccyx enough for the control and safety of the operation. Histopathological examination revealed a dermoid cyst. Five years after surgery the patient is presented in good general condition, asymptomatic without clinical and imaging signs of local-regional recurrence.


Keywords:
retrorectal cyst, dermoid cyst, retrorectal lesions, retrorectal space



Corresponding:
Iurii Munteanu, M.D., Surgical Department - Clinic Hospital CF-2 Bucharest, Bld. Marasti 63, Bucharest, Romania, E-mail: iuriimunteanu@yahoo.co.uk


DOI 10.12865/CHSJ.39.03.10 - Download PDF