Journal of Surgical Technique and Case Report
Journal of Surgical Technique and Case Report
CASE REPORT
Year : 2014  |  Volume : 6  |  Issue : 2  |  Page : 58-60

Retrorectal cystic hamartoma: A problematic 'Tail'


Department of General Surgery, Lady Hardinge Medical College and Smt. Sucheta Kriplani Hospital, Shaheed Bhagat Singh Marg, New Delhi, India

Correspondence Address:
Suhani
Senior Resident, Department of Surgery, Lady Hardinge Medical College and Smt. Sucheta Kriplani Hospital, Bhagat Singh Marg, New Delhi 110 001
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2006-8808.147261

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The retrorectal space is an uncommon seat for neoplastic masses. Retrorectal hamartoma or tailgut cyst (TGC) is an uncommon developmental cystic lesion occurring in this space which mostly occurs in middle-aged females. We recently cared for a 16-year-old girl who presented with vague lower abdominal pain and occasional constipation. Per rectal examination revealed an extraluminal mass bulging from posterior rectal wall. Preoperative radiological investigations revealed by suggested it to be a mature cystic teratoma. The patient underwent exploratory laprotomy with en masse excision of the cyst. Histopathological examination of the specimen showed it to be a TGC. This case highlights the possibility of a TGC as a differential for retrorectal cystic lesions and the need to completely excise them given the possibility of future malignant transformation.


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