Clinical Study and Review of Articles (Korean) about Retrorectal Developmental Cysts in Adults
| العنوان: | Clinical Study and Review of Articles (Korean) about Retrorectal Developmental Cysts in Adults |
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| المؤلفون: | Jung Dal Lee, Duk Hoon Park, Hyun Sik Kim, Seo Gue Yoon, Ji Yong Yoon, Haeng Ji Kang, Kwang Yun Kim, Do Youn Whang, Sung Wook Baek, Jong Kyun Lee |
| المصدر: | Journal of the Korean Society of Coloproctology |
| بيانات النشر: | The Korean Society of Coloproctology, 2011. |
| سنة النشر: | 2011 |
| مصطلحات موضوعية: | Anal fistula, medicine.medical_specialty, medicine.diagnostic_test, business.industry, Gastroenterology, Physical examination, Epidermoid cyst, Dermoid cyst, medicine.disease, Surgery, Tailgut cyst, parasitic diseases, medicine, Retrorectal tumor, Medical history, Original Article, Teratoma, business, Rare disease |
| الوصف: | Purpose A retrorectal developmental cyst (tailgut cyst, epidermoid cyst, dermoid cyst, teratoma, and duplication) is very rare disease, and the symptoms are not characteristic so that sometimes this disease is still misdiagnosed as a supralevator abscess or a complex anal fistula. We would like to present a clinical approach to this disease. Methods We retrospectively examined the charts of 15 patients who were treated for retrorectal cysts from January 2001 to November 2009. Results All 15 patients were female. The average age was 41 years (range, 21 to 60 years). Fourteen patients (93.3%) were symptomatic, and the most common symptom was anal pain or discomfort. Nine patients (60%) had more than one previous operation (range, 1 to 9 times) for a supralevator abscess, an anal fistula, etc. In 12 patients (80%), the diagnosis could be made by using the medical history and physical examination. Thirteen cysts (80%) were excised completely through the posterior approach. The average diameter of the cysts was 4.8 cm (range, 2 to 10 cm). Pathologic diagnoses were 8 tailgut cysts (53.3%), 5 epidermoid cysts (33.3%) and 2 dermoid cysts (13.3%). The average follow-up period was 18.3 months (range, 1 to 64 months). Conclusion In our experience, high suspicion and physical examination are the most important diagnostic methods. If a female patient has a history of multiple perianal operations, a retrorectal bulging soft mass, a posterior anal dimple, and no conventional creamy foul odorous pus in drainage, the possibility of a retrorectal developmental cyst must be considered. |
| اللغة: | English |
| تدمد: | 2093-7830 2093-7822 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b00c52b89a574f637e344b36ef72e4d0 http://europepmc.org/articles/PMC3259427 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....b00c52b89a574f637e344b36ef72e4d0 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20937830 20937822 |
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