Open AccessRectal duplication cyst causing acute urinary retention with bladder outlet obstruction: an unusual presentation
Author(s) -
Ashish Sharma,
Samarth Agarwal,
Manoj Kumar,
Satyanarayan Sankhwar
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2018-226338
Subject(s) - medicine , cyst , constipation , rectum , urinary retention , presentation (obstetrics) , surgery , bladder outlet obstruction , gene duplication , bowel obstruction , rare disease , disease , prostate , biochemistry , chemistry , cancer , gene
Anterior rectal duplication cyst is rare entity with <50 reported cases to date. It has myriad presentations like bleeding per rectum, constipation, rectal prolapsed and intestinal obstruction due to extrinsic compression of rectum. However, the association of enlarged duplication cyst compressing the bladder neck or ureter, and leading to bladder outlet obstruction or hydroureteronephrosis is extremely rare with only a handful of reported cases. We report a rare case of large anterior rectal duplication cyst in a young girl leading to acute urinary retention with bladder outlet obstruction which was eventually managed by laparoscopic-assisted transabdominal surgical excision of the cyst. The authors believe that such an association has not been previously reported in this age group.