A case report of adult rectal duplication cyst resected by synchronous trans-abdominal and trans-anal total mesorectal excision.
Case report
Duplication cyst
Rectum
Trans anal approach
Journal
International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872
Informations de publication
Date de publication:
2020
2020
Historique:
received:
18
06
2020
revised:
16
07
2020
accepted:
17
07
2020
pubmed:
5
8
2020
medline:
5
8
2020
entrez:
5
8
2020
Statut:
ppublish
Résumé
Rectal duplication cyst is extremely rare. Most of the cases diagnosed before two years old. Adult onset rectal duplication cyst usually contains malignant formation. Then complete tumor resection is needed for the disease to prevent malignant change. A 52-year-old man was referred to our hospital due to bloody stool. Colonoscopy showed 20-mm of sub-mucosal tumor at low rectum. Biopsy revealed no specific findings. Abdominal computed tomography showed that a 20-mm low density mass at posterior of lower rectum. As the existence of malignant lesion was unassailable, we planned two team, trans abdominal and trans-anal, laparoscopic low anterior resection. Perioperative course was good. Macroscopically, rectum had a submucosal cystic mass fulfilled mucinous content. Histologically, cyst wall was covered with heterotopic ciliated epithelium and composed of smooth muscle. Trans-anal total mesorectal excision (ta-TME) was introduced as beneficial approach for rectal malignancies. Complete resection was possible by TME was necessary for patients with adult rectal duplication cyst, and synchronous trans-abdominal and trans-anal approach is a promising option.
Identifiants
pubmed: 32750655
pii: S2210-2612(20)30569-1
doi: 10.1016/j.ijscr.2020.07.058
pmc: PMC7396905
pii:
doi:
Types de publication
Case Reports
Langues
eng
Pagination
360-364Informations de copyright
Copyright © 2020 The Author(s). Published by Elsevier Ltd.. All rights reserved.
Références
Tech Coloproctol. 2014 May;18(5):473-80
pubmed: 24272607
Am J Clin Pathol. 1988 Feb;89(2):139-47
pubmed: 3277378
Ann R Coll Surg Engl. 1999 May;81(3):205-6
pubmed: 10364957
Int J Surg. 2018 Dec;60:132-136
pubmed: 30342279
Tech Coloproctol. 2011 Dec;15(4):469-71
pubmed: 21448652
Arch Surg. 2001 Feb;136(2):216-20
pubmed: 11177145
ANZ J Surg. 2005 Mar;75(3):174-6
pubmed: 15777401
J Pediatr Surg. 1990 Sep;25(9):980-4
pubmed: 2213451
Int J Clin Oncol. 2020 Jan;25(1):1-42
pubmed: 31203527
Eur J Pediatr Surg. 1998 Jun;8(3):170-3
pubmed: 9676401
Radiographics. 2001 May-Jun;21(3):575-84
pubmed: 11353107
Surg Endosc. 2010 May;24(5):1205-10
pubmed: 20186432
Minim Invasive Ther Allied Technol. 2014 Mar;23(2):70-3
pubmed: 24483132
JAMA. 2015 Oct 6;314(13):1356-63
pubmed: 26441180
Br J Surg. 1982 Oct;69(10):613-6
pubmed: 6751457
J Laparoendosc Adv Surg Tech A. 2002 Dec;12(6):453-6
pubmed: 12590729
Chirurgie. 1989;115(8):565-71
pubmed: 2700164
Ann Surg. 1963 Mar;157:476-80
pubmed: 13999793
J Surg Case Rep. 2017 Jun 23;2017(6):rjx115
pubmed: 28698793
Pediatr Surg Int. 2001 Mar;17(2-3):221-3
pubmed: 11315295