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Rectal duplication cyst successfully treated by laparoscopic total mesorectal excision using the prolapsing technique
Author(s) -
Akahane K,
Uehara K,
Yoshioka Y,
Koide F,
Ebata T,
Yokoyama Y,
Igami T,
Sugawara G,
Takahashi Y,
Fukaya M,
Itatsu K,
Nakamura M,
Goto H,
Nagino M
Publication year - 2011
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/j.1758-5910.2011.00097.x
Subject(s) - medicine , rectum , cyst , lesion , malignancy , surgery , total mesorectal excision , rectal examination , radiology , colorectal cancer , pathology , prostate , cancer
Congenital alimentary tract duplication is a rare disease. It most frequently occurs in the ileum, with the rectum being the rarest site. Herein, we report a 38‐year‐old woman who was referred to our hospital because of severe anal pain. On digital examination, a smooth, round, rubbery mass was palpable; it was located 5 cm from the anal verge in the posterior rectal wall. A CT scan demonstrated a 5‐cm cystic lesion located anterior to the sacrum that was displacing the rectum anteriorly. Spontaneous remission of the tumor was evident; however, after 5 months of follow‐up, the patient experienced the same severe anal pain. MRI demonstrated a recurrent cystic lesion. To prevent further complications and to confirm or deny malignancy, laparoscopic total mesorectal excision using the prolapsing technique was performed. Pathologically, the cystic lesion was diagnosed as a rectal duplication cyst. This is the first report of a rectal duplication cyst successfully treated by laparoscopic total mesorectal excision.