Retrorectal Cystic Hamartoma (Tailgut cyst): Case Report and Literature Review

Authors

DOI:

https://doi.org/10.22516/25007440.800

Keywords:

Cystic hamartoma, benign tumor, Retrorectal tumor

Abstract

Retrorectal Cystic Hamartoma (tailgut cyst [TGC]) are uncommon, multiloculated congenital tumors derived from embryonic post-anal or tail gut remnants often undiagnosed due to their rare incidence, anatomical location, and non-specific clinical presentation.

We presented a 21-year-old patient with a perianal fistula history who underwent surgery. Nonetheless, she showed recurrence, and the cystic hamartoma was found in the resonance imaging. Therefore, the definitive treatment was complete resection of the lesion by posterior approach (Kraske-Mason).

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Author Biographies

Juan Dario Puerta, Clínica Las Américas

Cirujano coloproctólogo, Universidad Pontificia Bolivariana. Clínica Las Américas, Auna. Medellín, Colombia.

Rodrigo Castaño Llano, Clínica las Américas

Cirujano gastroenterólogo. Grupo de Gastrohepatología, Universidad de Antioquia. Profesor, Universidad Pontificia Bolivariana. Instituto de Cancerología, Clínica Las Américas, Auna. Medellín, Colombia.

Alfredo Enrique Martelo Román, Clínica Las Américas

Médico Patólogo. Laboratorio Clínica las Américas, Auna. Medellín, Colombia.

Juan Esteban Puerta Botero, Universidad CES

Estudiante de Medicina, Universidad CES. Medellín, Colombia.

References

Aljuhani F, Almunami B, Alsamahi R, Malibary N, Algaithy Z. Alcohol injection for nonsurgical management of tailgut cyst in a middle-aged woman: A case report. Clin Case Rep. 2019;7(6):1233-7. https://doi.org/10.1002/ccr3.2205

Li W, Li J, Yu K, Zhang K, Li J. Retrorectal adenocarcinoma arising from tailgut cysts: A rare case report. BMC Surg. 2019;19(1): 180. https://doi.org/10.1186/s12893-019-0639-9

Hjermstad BM, Helwig EB. Tailgut cysts. Report of 53 cases. Am J Clin Pathol. 1988;89(2):139-47. https://doi.org/10.1093/ajcp/89.2.139

Hufkens AS, Cools P, Leyman P. Tailgut cyst: report of three cases and review of the literature. Acta Chir Belg. 2019;119(2):110-7. https://doi.org/10.1080/00015458.2017.1353758

de Castro Gouveia G, Okada LY, Paes BP, Moura TM, da Conceição Júnior AH, Pinheiro RN. Tailgut cyst: from differential diagnosis to surgical resection-case report and literature review. J Surg Case Rep. 2020;2020(7):rjaa205. https://doi.org/10.1093/jscr/rjaa205

Vega D, Quintáns A, Hernández P, Nevado M. Hamartomas quísticos retrorrectales. 2008;83(2):53-60. https://doi.org/10.1016/S0009-739X(08)70506-2

Aydin Y, Tokgöz VY, Basgun N, Erdemir R. Laparoscopic management of a low-lying tailgut cyst: a rare case. J Obstet Gynaecol (Lahore). 2019;39(8):1181-3. https://doi.org/10.1080/01443615.2019.1587601

McCarroll RH, Moore LJ. Transanal minimally invasive surgery for resection of retrorectal cyst. J Surg Case Rep. 2018;2018(2):1-3. https://doi.org/10.1093/jscr/rjy021

Al Khaldi M, Mesbah A, Dubé P, Isler M, Mitchell A, Doyon J, et al. Neuroendocrine carcinoma arising in a tailgut cyst. Int J Surg Case Rep. 2018;49:91-5. https://doi.org/10.1016/j.ijscr.2018.05.032

Haydar M, Griepentrog K. Tailgut cyst: A case report and literature review. Int J Surg Case Rep. 2015;10:166-8. https://doi.org/10.1016/j.ijscr.2015.03.031

Demirel AH, Cetin E, Temiz A. Squamous cell carcinoma arising in a sacrococcygeal tailgut cyst. An Bras Dermatol. 2018;93(5):733-5. https://doi.org/10.1590/abd1806-4841.20187618

Mathis KL, Dozois EJ, Grewal MS, Metzger P, Larson DW, Devine RM. Malignant risk and surgical outcomes of presacral tailgut cysts. Br J Surg. 2010;97(4):575-9. https://doi.org/10.1002/bjs.6915

Sakr A, Kim HS, Han YD, Cho MS, Hur H, Min BS, et al. Single-center experience of 24 cases of tailgut cyst. Ann Coloproctol. 2019;3(5):268-74. https://doi.org/10.3393/ac.2018.12.18

Marano A, Giuffrida MC, Peluso C, Testa V, Bosio P, Borghi F. Robotic approach to large tailgut cyst with malignant transformation: A case report. Int J Surg Case Rep. 2020;77S:S57-60. https://doi.org/10.1016/j.ijscr.2020.09.025

Hernandez Casanovas P, Bollo Rodriguez J, Martinez Sanchez C, Pernas Canadell JC, Targarona Soler EM. Transanal endoscopic microsurgery treatment of twice recurred tail-gut. Cir Esp. 2018;96(7):455-6. https://doi.org/10.1016/j.cireng.2018.07.004

Figura 1. Lesión quística retrorrectal. En la línea media mide 5,7 cm anteroposterior x 3,6 cm x 4,2 cm, multiloculado, con tabiques completos y contenido de alta intensidad de señal en secuencias T1.

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Published

2022-09-16

How to Cite

Puerta Diaz, J. D., Castaño Llano, R., Martelo Román, A. E., & Puerta Botero, J. E. (2022). Retrorectal Cystic Hamartoma (Tailgut cyst): Case Report and Literature Review. Revista Colombiana De Gastroenterología, 37(3), 316–319. https://doi.org/10.22516/25007440.800

Issue

Vol. 37 No. 3 (2022): July - September

Section

Case report

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