An unusual presentation of a rectal duplication cyst.

International Journal of Surgery Case Reports
Katharine L JacksonMichael D Rollins

Abstract

Intestinal duplications are rare developmental anomalies that can occur anywhere along the gastrointestinal tract. Rectal duplication cysts account for approximately 4% of all duplication cysts. They usually present in childhood with symptoms of mass effect, local infection or more rarely with rectal bleeding from ectopic gastric mucosa. A 26year old male presented with a history of bright red blood per rectum. On examination a mucosal defect with an associated cavity adjacent to the rectum was identified. This was confirmed with rigid proctoscopy and CT scan imaging. A complete transanal excision was performed. Rectal duplication cysts are more common in pediatric patients. They more frequently present with symptoms of mass effect or local infection than with rectal bleeding. In adult patients they are a rare cause of rectal bleeding. Definitive treatment is with surgical excision. A transanal, transcoccygeal, posterior sagittal or a combined abdominoperineal approach may be used depending on anatomic characteristics of the duplication cyst. We present a rare case of a rectal duplication cyst presenting in adulthood with rectal bleeding, managed with transanal excision.

References

Sep 1, 1990·Journal of Pediatric Surgery·M P La QuagliaW H Hendren
Jan 20, 2005·Diseases of the Colon and Rectum·Richard FlintBryan Parry
Aug 5, 2008·Journal of Pediatric Surgery·Charles W HartinPhilip L Glick
Mar 31, 2011·Techniques in Coloproctology·O Ben-IshayD Simon Duek

❮ Previous
Next ❯

Citations

Aug 17, 2011·Journal of Pediatric Surgery·Junjie SunJiacong Mo
Jul 13, 2017·Journal of Surgical Case Reports·Michela CeriottiGiovanni E Saccomani
Jun 13, 2020·JFMS Open Reports·Elena Carbonell BujAlexandre Caron
May 11, 2019·Surgical Case Reports·Sofia AnastasiadouChristos Kontovounisios
Apr 15, 2021·BMJ Case Reports·Rahul BhatPoornachandra Thejeswi

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cancer Imaging

Imaging techniques, including CT and MR, have become essential to tumor detection, diagnosis, and monitoring. Here is the latest research on cancer imaging.

Related Papers

Journal of Pediatric Surgery
Jason KnudtsonHarsh Grewal
Journal of Pediatric Surgery
Charles W HartinPhilip L Glick
Diseases of the Colon and Rectum
G ZamirP Reissman
© 2021 Meta ULC. All rights reserved