Laparoscopic approach to retrorectal cyst

Retrorectal cysts are rare benign lesions in the presacral space which are frequently diagnosed in middle-aged females. We report here our experience with two symptomatic female patients who were diagnosed as having a retrorectal cyst and managed using a laparoscopic approach. The two patients were...

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Bibliographic Details
Published in:World journal of gastroenterology : WJG 2008-11, Vol.14 (42), p.6581-6583
Main Authors: Gunkova, Petra, Martinek, Lubomir, Dostalik, Jan, Gunka, Igor, Vavra, Petr, Mazur, Miloslav
Format: Article
Language:English
Subjects:
Adult
Case Report
Cysts - pathology
Cysts - surgery
Female
Humans
Laparoscopy
Ovarian Cysts - complications
Ovarian Cysts - surgery
Ovariectomy
Rectal Diseases - complications
Rectal Diseases - pathology
Rectal Diseases - surgery
Tomography, X-Ray Computed
Treatment Outcome
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Summary:Retrorectal cysts are rare benign lesions in the presacral space which are frequently diagnosed in middle-aged females. We report here our experience with two symptomatic female patients who were diagnosed as having a retrorectal cyst and managed using a laparoscopic approach. The two patients were misdiagnosed as having an ovarian cystic lesion after abdominal ultrasonography. Computer tomograghy (CT) scan was mandatory to establish the diagnosis. The trocar port site was the same in both patients. An additional left oophorectomy was done for a coexisting ovarian cystic lesion in one patient in the same setting. There was no postoperative morbidity or mortality and the two patients were discharged on the 5th and 6th post operative days, respectively. Our cases show that laparoscopic management of retrorectal cysts is a safe approach. It reduces surgical trauma and offers an excellent tool for perfect visualization of the deep structures in the presacral space.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.14.6581