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Published: January 2011

Open Access Gateway

Laparoscopy-Assisted Resection of Tailgut Cysts: Report of a Case

Lim S.W. · Huh J.W. · Kim Y.J. · Kim H.R.

Author affiliations

Department of Surgery, Chonnam National University Hwasun Hospital, Gwangju, South Korea

Corresponding Author

Dr. Hyeong Rok Kim

Department of Surgery, Chonnam National University Hwasun Hospital

160, Ilsim-ri, Hwasun-eup, Hwasun-gun, Jeollanam-do, 519-809 Gwangju (South Korea)

Fax +82 61 379 7661, E-Mail drkhr@jnu.ac.kr

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Case Rep Gastroenterol 2011;5:22–27

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Tailgut cysts, or retrorectal cystic hamartomas, are rare congenital developmental lesions, most commonly located in the retrorectal space, and are more common in women. We present a case of retrorectal tailgut cyst managed using a laparoscopic approach. A 36-year-old woman presented with incidentally detected retrorectal tumors during evaluation for a gallbladder polyp. Her past medical history revealed that she had undergone cesarean section twice. The tumor marker CA 19-9 level was 42.52 U/ml. CT of the pelvis with contrast and pelvic MRI revealed a 3.9 × 3.3 cm well-defined, homogeneous cystic mass in the right presacral area, and a 2.5 × 1.5 cm cystic mass in the precoccygeal space. The patient underwent laparoscopic exploration with a preoperative diagnosis of tailgut cysts based on radiological findings. The operative time was 90 min including 30 min of subsequent laparoscopic cholecystectomy without placement of additional trocars. The surgical specimens consisted of two fragments of fibrofatty tissues, unilocular cystic masses. The final pathologic diagnosis was tailgut cysts with no evidence of malignancy. Postoperative recovery was uneventful, and the patient was discharged after 3 days. In conclusion, surgical resection is recommended in the management of retrorectal tailgut cyst to establish a definite diagnosis and to rule out malignancy. The laparoscopic approach is a feasible and safe option.

© 2011 S. Karger AG, Basel

Article / Publication Details

First-Page Preview
Abstract of Published: January 2011

Published online: January 14, 2011
Issue release date: January – April

Number of Print Pages: 6
Number of Figures: 3
Number of Tables: 0

eISSN: 1662-0631 (Online)

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